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Contact Information

CARDINAL HEALTH SERVICES, PC
3069 TRENWEST DR
STE 200
WINSTON-SALEM, NC27103-3211
 Phone: 336-448-0962
 Fax: 336-992-3930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for CARDINAL HEALTH SERVICES, PC

NPI # 1144575929
LBN Legal business name CARDINAL HEALTH SERVICES, PC
Authorized official HENRY TRIPP - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2012
Last updated 12/12/2012 - About 13 years ago
Identifiers
NC License # 32185
NC Other 34D2049903 CLIA #
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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