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 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Cardinal Clinic Llc can be contacted via phone (910) 867-8889, or through Garcia, Tony via phone (910) 864-0187.

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: Garcia, Tony
Phone: (910) 864-0187

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1982761250
LBN Legal business name Cardinal Clinic Llc
DBA Doing business as
Authorized official Garcia, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated May 20th, 2009 - about 15 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 1982761250 NPPES
North Carolina MEDICAID 8300391

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