| Cah Acquisition Company 1 Llc | |
|
9500 Nc Highway 94 North Creswell NC 27928-8808 | |
| (252) 797-3869 | |
| (252) 797-3889 |
| Full Name | Cah Acquisition Company 1 Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 9500 Nc Highway 94 North, Creswell, North Carolina |
| Authorized Official Name and Position | Frank Titus Avignone (CEO) |
| Authorized Official Contact | 2145029624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cah Acquisition Company 1 Llc 7920 Belt Line Rd Ste 215 Dallas TX 75254-8155 Ph: (214) 502-9624 | Cah Acquisition Company 1 Llc 9500 Nc Highway 94 North Creswell NC 27928-8808 Ph: (252) 797-3869 |
| NPI Number | 1699062802 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 05/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699062802 | NPI | - | NPPES |
| 343442A&C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0006 (North Carolina) | Primary |
Roanoke Chowan Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9500 Nc Highway 94 N, Creswell, NC 27928 Phone: 252-797-0135 Fax: 833-755-1237 |