# UNIVERSAL HEALTH CARE CONCORD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIVERSAL HEALTH CARE / CONCORD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942279609
- **Authorized official:** CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (336) 633-0055

## Contact information

- **Practice address:** 430 BROOKWOOD AVE NE, CONCORD, NC 28025-2566
- **Practice address phone:** (704) 788-4115
- **Practice address fax:** (704) 788-6331
- **Mailing address:** 430 BROOKWOOD AVE NE, CONCORD, NC 28025-2566
- **Mailing address phone:** (704) 788-4115
- **Mailing address fax:** (704) 788-6331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0247 | NC | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009C1 | BCBS PROVIDER NUMBER | NC |
| 05 | — | 3415183 | — | NC |
| 05 | — | 3416026 | — | NC |