NPIMap

Organization Active NPI

Pqa Healthcare, Inc

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1700218864
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PQA HEALTHCARE, INC
Practice address
300 Northgate Park Dr
Winston Salem, NC 27106-3482
Phone
(336) 306-9690
Fax
(336) 306-9696
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Khalil Nassar, MA
Title
Ceo
Phone
(336) 356-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

300 Northgate Park Dr
Winston Salem, NC 27106-3482

Mailing address

300 Northgate Park Dr
Winston Salem, NC 27106-3482
Phone (336) 306-9690

National Provider Directory

National Provider Directory
Tax ID family
Pqa Healthcare Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1700218864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTHGATE PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063482",
            "telephone_number": "336-306-9690",
            "fax_number": "336-306-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTHGATE PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063482",
            "telephone_number": "336-306-9690",
            "fax_number": "336-306-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PQA HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-356-2600",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.