Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NORTHEAST ONCOLOGY ASSOCIATES, ALB
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization
Contact information
Practice address
945 N 5TH ST, NE ONCOLOGY ASSOC, ALBEMARLE, ALBEMARLE, NC 28001-3417
(704) 982-1880
(704) 982-1089
Mailing address
945 N 5TH ST, NE ONCOLOGY ASSOC, ALBEMARLE, ALBEMARLE, NC 28001-3417
(704) 982-1880
(704) 982-1089
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01114W
BCBS EFF PRIOR TO 7-1-07
NC
01
—
019GP
BCBS EFF 7-1-07
NC
01
—
355573
MAMSI
NC
01
—
566000156048
TRICARE STANDARD, NON NWK
NC
05
—
5906985
—
NC
01
—
7233
PARTNERS MEDICARE CHOICE
NC
05
—
89011YW
—
NC
01
—
CC2854
RAILROAD MEDICARE
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
01/18/2007
Last updated
06/01/2010
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