Organization
CAH ACQUISITION COMPANY 1 LLC
Active
Parent organization
HMC/CAH CONSOLIDATED INC
Other names
Washington County Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HMC/CAH CONSOLIDATED INC
Authorized official
MR. FRANK TITUS AVIGNONE IV (CEO)
(214) 502-9624
Entity
Organization
Contact information
Practice address
9500 NC HIGHWAY 94 NORTH, CRESWELL, NC 27928-8808
(252) 797-3869
(252) 797-3889
Mailing address
7920 BELT LINE RD STE 215, DALLAS, TX 75254-8155
(214) 502-9624
(252) 797-3889
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343442A&C
—
NC
Enumeration date
07/08/2011
Last updated
05/11/2020
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