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Organization
UNIVERSAL HEALTH CARE CONCORD, INC
Active
Organization
UNIVERSAL HEALTH CARE CONCORD, INC
Active
Other names
UNIVERSAL HEALTH CARE / CONCORD
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
(336) 633-0055
Entity
Organization
Contact information
Practice address
430 BROOKWOOD AVE NE, CONCORD, NC 28025-2566
(704) 788-4115
(704) 788-6331
Mailing address
430 BROOKWOOD AVE NE, CONCORD, NC 28025-2566
(704) 788-4115
(704) 788-6331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009C1
BCBS PROVIDER NUMBER
NC
05
—
3415183
—
NC
05
—
3416026
—
NC
Enumeration date
03/15/2006
Last updated
08/22/2020
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