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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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