Organization
CMC-NORTHEAST, INC.
Active
Organization
CMC-NORTHEAST, INC.
Active
Parent organization
CMC-NORTHEAST, INC.
Other names
NorthEast Palliative Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMC-NORTHEAST, INC.
Authorized official
FRIEDA M LOWDER (SR. VP)
(704) 403-4146
Entity
Organization
Contact information
Practice address
920 CHURCH ST N, NORTHEAST PALLIATIVE CARE SERVICES, CONCORD, NC 28025-2927
(704) 403-3276
(704) 403-4331
Mailing address
920 CHURCH ST N, NORTHEAST PALLIATIVE CARE SERVICES, CONCORD, NC 28025-2927
(704) 403-3276
(704) 403-4331
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232009
MEDICARE PTAN, GROUP
NC
05
—
5916056
—
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
Enumeration date
05/14/2010
Last updated
02/08/2011
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