1881735140 NPI number — ARC SERVICES INC

Table of content: (NPI 1881735140)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881735140 NPI number — ARC SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARC SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MONARCH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881735140
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
350 PEE DEE AVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
ALBEMARLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28001-4945
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-986-1522
Provider Business Mailing Address Fax Number:
704-982-5279

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 LEPHILLIP COURT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-782-3004
Provider Business Practice Location Address Fax Number:
704-782-3005
Provider Enumeration Date:
02/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
704-986-1522

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6006016 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301540H , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301540B , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301540 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".