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Contact Information

CAROLINA HEALTHCARE ASSOCIATES, INC.
1515 DOCTORS CIR
BUILDING C
WILMINGTON, NC28401-7403
 Phone: 910-763-5182
 Fax: 910-763-0291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CAROLINA HEALTHCARE ASSOCIATES, INC.

NPI # 1417219163
LBN Legal business name CAROLINA HEALTHCARE ASSOCIATES, INC.
Authorized official DAN GOODWIN - (VP)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/08/2012
Last updated 01/10/2017 - About 9 years ago
Identifiers
NC Medicaid 1417219163
NC Medicaid 5920806
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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