Carolinas Cancer Care Pa

LBN: Carolinas Cancer Care Pa
Carolinas Cancer Care Pa is an health care organization with primary practice located at 411 Billingsley Rd Suite 103, Charlotte NC 28211-1066. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Carolinas Cancer Care Pa can be contacted via phone (704) 344-1995, or through Hauch, Thomas Wray via phone (704) 344-1995.

Contact Information

Primary practice address
411 Billingsley Rd Suite 103 Charlotte NC 28211-1066
Fax: (704) 344-9125
Website:
Authorized official contact:
Name: Hauch, Thomas Wray Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21568 North Carolina

Profile Details

NPI number 1235126517
LBN Legal business name Carolinas Cancer Care Pa
DBA Doing business as
Authorized official Hauch, Thomas Wray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Aug 22nd, 2020 - about 4 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 1235126517 NPPES
North Carolina MEDICAID 89011V4

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