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Contact Information

CAROLINAS HEALTHCARE ASSOCIATES, INC.
221 MEMORIAL DR
JACKSONVILLE, NC28546-6333
 Phone: 910-353-9994
 Fax: 910-353-5784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Urogynecology and Reconstructive Pelvic Surgery

2088F0040X
Indicates primary specialty

NPI Profile & details for CAROLINAS HEALTHCARE ASSOCIATES, INC.

NPI Number 1407104466
LBN Legal business name CAROLINAS HEALTHCARE ASSOCIATES, INC.
Authorized official DAN GOODWIN - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2012
Last updated 01/10/2017 - About 9 years ago
Identifiers
NC Medicaid 1407104466
NC Medicaid 5921896
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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