Charlotte Cdsa

LBN: Charlotte Cdsa
Charlotte Cdsa is an health care organization with primary practice located at 3500 Ellington St Carlton Watkins Center, Charlotte NC 28211-1102. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Charlotte Cdsa can be contacted via phone (704) 336-7107, or through Mele, Constance Cook via phone (704) 336-7155.

Contact Information

Primary practice address
3500 Ellington St Carlton Watkins Center Charlotte NC 28211-1102
Phone: (704) 336-7107
Fax: (704) 336-7110
Website:
Map and Directions
Authorized official contact:
Name: Mele, Constance Cook PMHCNS-BC,CARN-AP
Phone: (704) 336-7155

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X North Carolina

Profile Details

NPI number 1215270715
LBN Legal business name Charlotte Cdsa
DBA Doing business as
Authorized official Mele, Constance Cook PMHCNS-BC,CARN-AP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2013
Last updated Apr 3rd, 2013 - about 12 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 1215270715 NPPES
North Carolina Other 3403416 NC HEALTH CHOICE
North Carolina Other 3403416 NC HEALTH CHOICE
North Carolina MEDICAID 3403416 NC HEALTH CHOICE

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