Healthcare Provider Details

I. General information

NPI: 1801481940
Provider Name (Legal Business Name): AMERICAN HEALTHCARE SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 N FAYETTEVILLE ST
ASHEBORO NC
27203-4728
US

IV. Provider business mailing address

364 WHITE OAK ST
ASHEBORO NC
27203-5434
US

V. Phone/Fax

Practice location:
  • Phone: 336-626-3700
  • Fax:
Mailing address:
  • Phone: 336-625-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FAISAL M GILL
Title or Position: LEGAL COUNSEL
Credential:
Phone: 310-418-6675