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Contact Information

CMC-NORTHEAST, INC.
9625 NORTHCROSS CENTER CT
SUITE 102-C
HUNTERSVILLE, NC28078-7348
 Phone: 704-801-1240
 Fax: 704-801-1240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CMC-NORTHEAST, INC.

NPI Number 1770728487
LBN Legal business name CMC-NORTHEAST, INC.
Authorized official FRIEDA LOWDER - (SR. VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/09/2008
Last updated 08/21/2012 - About 14 years ago
Identifiers
NC Medicaid 5914678
SC Medicaid QPB689
NC Other DF8926 RAILROAD MEDICARE PTAN
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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