1285713859 NPI number — CHEROKEE INDIAN HOSPITAL AUTHORITY

Table of content: (NPI 1285713859)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285713859 NPI number — CHEROKEE INDIAN HOSPITAL AUTHORITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHEROKEE INDIAN HOSPITAL AUTHORITY
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:
CIHA PROFESSIONAL GROUP
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:
1285713859
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 HOSPITAL ROAD
Provider Second Line Business Mailing Address:
CALLER BOX C-268
Provider Business Mailing Address City Name:
CHEROKEE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28719-9253
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-497-9163
Provider Business Mailing Address Fax Number:
828-497-1723

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 HOSPITAL ROAD
Provider Second Line Business Practice Location Address:
CALLER BOX C-268
Provider Business Practice Location Address City Name:
CHEROKEE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28719-9253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-497-9163
Provider Business Practice Location Address Fax Number:
828-497-1723
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DANDO
Authorized Official First Name:
JONATHAN
Authorized Official Middle Name:
CERI
Authorized Official Title or Position:
BUSINESS OFFICE MANAGER
Authorized Official Telephone Number:
828-497-9163

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  32243 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207P00000X , with the licence number: 29169 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 36322 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Q00000X , with the licence number: 30635 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 29948 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 200301271 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 200301139 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: 9900435 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: 19276 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Y00000X , with the licence number: 26813 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: 30534 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: 200301080 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 200300668 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 200800320 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0767C . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 7901739 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 89014FH , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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