Cardinal Clinic Llc in Fayetteville - Community Based Residential Treatment Facility, Mental Illness
Cardinal Clinic Llc - NPI 1689757809
Cardinal Clinic Llc is a Community Based Residential Treatment Facility, Mental Illness in Fayetteville, North Carolina. Cardinal Clinic Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Cardinal Clinic Llc is 1689757809. The last update date is 2008-07-28.
Cardinal Clinic Llc's current location address is 1540 Purdue Dr Ste 200, Fayetteville, North Carolina. You can contact this provider via phone number 9108678889 and fax number 9104873061. The mailing address for Cardinal Clinic Llc is 1540 Purdue Dr Ste 200, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cardinal Clinic Llc |
|---|---|
| Address | 1540 Purdue Dr Ste 200, Fayetteville, North Carolina |
| Phone Number | 9108678889 |
| Fax Number | 9104873061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | QM MANAGER |
|---|---|
| Authorized Official Name | Doyle Carol |
| Credentials | RHIA |
| Telephone Number | 9102226234 |
NPI Number Detail
| NPI Number | 1689757809 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2008-07-28 |
Provider Mailing Address Detail
| Address | 1540 Purdue Dr Ste 200 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283035510 |
| Phone Number | 9108678889 |
| Fax Number | 9104873061 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603922 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cardinal Clinic Llc by the Centers for Medicare & Medicaid Services?
The Cardinal Clinic Llc has been issued the NPI (National Provider Identifier) 1689757809 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Cardinal Clinic Llc is physically located?
The Cardinal Clinic Llc is situated at the following address: 1540 Purdue Dr Ste 200, Fayetteville, NC 283035510.
What is the Cardinal Clinic Llc's area of specialization and corresponding taxonomy classification?
The Cardinal Clinic Llc's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Cardinal Clinic Llc receive its 1689757809 assignment from the Centers for Medicare & Medicaid Services?
The Cardinal Clinic Llc was assigned its 1689757809 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the details pertaining to Cardinal Clinic Llc last refreshed?
The information related to the Cardinal Clinic Llc, including its address, specialty, and other relevant details, was last updated on 2008-07-28.
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