1558906958 NPI number — C&H HOLDING AND MANAGEMENT INC

Table of content: (NPI 1558906958)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558906958 NPI number — C&H HOLDING AND MANAGEMENT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C&H HOLDING AND MANAGEMENT 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:
Provider Other Organization Name Type Code:
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:
1558906958
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 11103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27703-0103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
512 SIMMONS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27701-4334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-638-4201
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/10/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHERRY
Authorized Official First Name:
KENDRA
Authorized Official Middle Name:
CHRISTINE
Authorized Official Title or Position:
FOUNDER
Authorized Official Telephone Number:
404-638-4201

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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