Cah Acquisition Company 1 LLC
Organization Active NPI Rural Health Clinic/Center · Creswell, NC
NPI 1699062802 · NPPES record last updated May 11, 2020
Key facts
- NPI
- 1699062802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- H0006 (NC)
- Legal business name
- CAH ACQUISITION COMPANY 1 LLC
- Practice address
- 9500 NC Highway 94 North
Creswell, NC 27928-8808 - Phone
- (252) 797-3869
- Fax
- (252) 797-3889
- NPI assigned
- Jul 8, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- HMC/CAH CONSOLIDATED INC
Authorized official
- Name
- Mr. Frank Titus Avignone IV
- Title
- Ceo
- Phone
- (214) 502-9624
National Provider Directory
Locations
9500 NC Highway 94 N
Creswell, NC 27928
Phone (252) 797-0135
958 US Highway 64 E
#707
Plymouth, NC 27962
Phone (252) 793-4315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | H0006 | NC | Yes |
Addresses
Primary practice location
9500 NC Highway 94 North
Creswell, NC 27928-8808
Mailing address
7920 Belt Line Rd Ste 215
Dallas, TX 75254-8155
Phone (214) 502-9624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343442A&C | Medicaid | NC |
Other names
- Washington County Medical Clinic
Other providers in Creswell, NC
- Kathie E Bollenbach
- Creswell Rehab and Wellness S Corp
- Charles Donald Hill Jr.
- Reaching Independence & Self Empowerment
- Roanoke Chowan Community Health Center Inc
- Lori Elizabeth Swain
All providers in Creswell, NC · Rural Health Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.