Organization · NPI-2

Cmc Northeast

Public Health or Welfare · Concord, NC

NPI number1821203068
StatusActive
Last updated in NPPESApr 20, 2011

Details

NPI
1821203068
Entity type
Organization (NPI-2)
Legal business name
Cmc Northeast
Organization subpart
No
Enumeration date
May 11, 2007
Last updated
Apr 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare––Yes

Practice location

920 Church St N
Concord, NC 28025-2927

Phone 704-783-3000

Mailing address

Po Box 669347
Charlotte, NC 28266-9347

Phone 704-512-6438 · Fax 704-512-6485

Authorized official

Greg Gombar
Administrator
7043552154

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