Healthcare Provider Details

I. General information

NPI: 1386854800
Provider Name (Legal Business Name): COMMUNITY CAREPARTNERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SWEETEN CREEK RD
ASHEVILLE NC
28803-2318
US

IV. Provider business mailing address

68 SWEETEN CREEK RD
ASHEVILLE NC
28803-2318
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-4800
  • Fax: 828-277-4808
Mailing address:
  • Phone: 828-277-4800
  • Fax: 828-277-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberHOS113
License Number StateNC

VIII. Authorized Official

Name: TRACY T BUCHANAN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 828-277-4800