Organization
CAH ACQUISITION COMPANY 1 LLC
Active
Parent organization
CAH ACQUISITION COMPANY 1 LLC
Other names
PLYMOUTH PRIMARY CARE RURAL HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAH ACQUISITION COMPANY 1 LLC
Authorized official
MR. FRANK TITUS AVIGNONE IV (CEO)
(214) 502-9624
Entity
Organization
Contact information
Practice address
1006 US HIGHWAY 64 E, PLYMOUTH, NC 27962
(252) 793-7701
(252) 793-7736
Mailing address
7920 BELT LINE RD STE 215, DALLAS, TX 75254-8155
(214) 502-9624
(252) 793-7736
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343430A&C
—
NC
01
—
890233W
CAROLINA ACCESS
NC
Enumeration date
09/04/2008
Last updated
05/11/2020
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