Healthcare Provider Details

I. General information

NPI: 1437570835
Provider Name (Legal Business Name): SIMRUN HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2014
Last Update Date: 01/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CABARRUS AVE W
CONCORD NC
28025-5150
US

IV. Provider business mailing address

1206 VAUGHN RD
BURLINGTON NC
27217-2847
US

V. Phone/Fax

Practice location:
  • Phone: 336-570-0104
  • Fax:
Mailing address:
  • Phone: 336-570-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAMSHER AHLUWALIA
Title or Position: CEO
Credential:
Phone: 336-570-0104