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Contact Information

CARDINAL CLINIC, LLC
1540 PURDUE DRIVE
SUITE 200
FAYETTEVILLE, NC28303-5510
 Phone: 910-867-8889
 Fax: 910-401-1024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Foster Care Agency

253J00000X
Indicates primary specialty

NPI Profile & details for CARDINAL CLINIC, LLC

NPI Number 1033427091
LBN Legal business name CARDINAL CLINIC, LLC
Authorized official THEODORE LANE - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2010
Last updated 09/23/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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