Cardinal Clinic Llc

LBN: Cardinal Clinic Llc
Cardinal Clinic Llc is an health care organization with primary practice located at 1540 Purdue Dr Ste 200 , Fayetteville NC 28303-5510. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Cardinal Clinic Llc can be contacted via phone (910) 867-8889, or through Westrick, Mark A via phone (910) 222-6234.

Contact Information

Primary practice address
1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510
Phone: (910) 867-8889
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Westrick, Mark A
Phone: (910) 222-6234

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1609925668
LBN Legal business name Cardinal Clinic Llc
DBA Doing business as
Authorized official Westrick, Mark A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609925668 NPPES
North Carolina MEDICAID 6005134
North Carolina MEDICAID 6005172

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