Cmc-Northeast, Inc. in Concord - Clinical
Cmc-Northeast, Inc. - NPI 1750343521
Cmc-Northeast, Inc. is a Clinical in Concord, North Carolina. Cmc-Northeast, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cmc-Northeast, Inc. is 1750343521. The last update date is 2012-06-01.
Cmc-Northeast, Inc.'s current location address is 380 Copperfield Blvd Ne, Concord, North Carolina. You can contact this provider via phone number 7044031800 and fax number 7044031836. The mailing address for Cmc-Northeast, Inc. is 380 Copperfield Blvd Ne, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cmc-Northeast, Inc. |
|---|---|
| Address | 380 Copperfield Blvd Ne, Concord, North Carolina |
| Phone Number | 7044031800 |
| Fax Number | 7044031836 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHYSICI |
|---|---|
| Authorized Official Name | Lowder M Frieda |
| Telephone Number | 7044034146 |
NPI Number Detail
| NPI Number | 1750343521 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2012-06-01 |
Provider Mailing Address Detail
| Address | 380 Copperfield Blvd Ne |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280252402 |
| Phone Number | 7044031800 |
| Fax Number | 7044031836 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 019G5 | NC | BCBSNC | |
| 355573 | NC | MAMSI | |
| 566000156021 | NC | TRICARE STANDARD, NON NWK | |
| B948 | NC | PARTNERS MEDICARE CHOICE | |
| 019G5 | NC | BCBS EFF 7-1-07 | |
| 5907156 | NC | -- | |
| 6005328 | NC | -- | |
| 890240Y | NC | -- | |
| CC2854 | NC | RAILROAD MEDICARE | |
| DF8926 | NC | RAILROAD MEDICARE PTAN |
Post Comment/ Review Below
What is the Cmc-Northeast, Inc.'s unique identification number?
The Cmc-Northeast, Inc. has been assigned the NPI (National Provider Identifier) Number 1750343521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Cmc-Northeast, Inc. is located?
The Cmc-Northeast, Inc. is situated at the following address: 380 Copperfield Blvd Ne, Concord, NC, 280252402.
What is Cmc-Northeast, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cmc-Northeast, Inc.'s specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Cmc-Northeast, Inc. receive its 1750343521 assignment from the Centers for Medicare & Medicaid Services?
The Cmc-Northeast, Inc. was assigned its 1750343521 by the Centers for Medicare & Medicaid Services on 2006-04-05.
As of what date were the details related to Cmc-Northeast, Inc. most recently updated or revised?
The information pertaining to Cmc-Northeast, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2012-06-01.