Healthcare Provider Details

I. General information

NPI: 1689872483
Provider Name (Legal Business Name): THE WHIPKEY NHC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17210 LANCASTER HWY SUITE 401
CHARLOTTE NC
28277-2093
US

IV. Provider business mailing address

17210 LANCASTER HWY SUITE 401
CHARLOTTE NC
28277-2093
US

V. Phone/Fax

Practice location:
  • Phone: 704-332-3447
  • Fax: 704-752-3808
Mailing address:
  • Phone: 704-332-3447
  • Fax: 704-752-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number817
License Number StateNC

VIII. Authorized Official

Name: SCOTT D WHIPKEY
Title or Position: PLAN ADMINISTRATOR
Credential:
Phone: 704-332-2930