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Organization
ALLEGHANY HEALTH SERVICES
Active
Organization
ALLEGHANY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH A CASTILLO (CEO)
(336) 372-5511
Entity
Organization
Contact information
Practice address
233 DOCTORS ST, SPARTA, NC 28675-9247
(336) 372-3110
(336) 372-7971
Mailing address
233 DOCTORS ST, SPARTA, NC 28675-9247
(336) 372-3110
(336) 372-7971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175W
BCBS OF NC
NC
05
—
5902704
—
NC
01
—
J545
PARTNERS MEDICARE CHOICE
NC
Enumeration date
07/07/2006
Last updated
08/22/2020
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