Healthcare Provider Details
I. General information
NPI: 1700999315
Provider Name (Legal Business Name): HEALTHPOINT OF NORTH CAROLINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2850 TATE BLVD SE
HICKORY NC
28602-1450
US
IV. Provider business mailing address
2850 TATE BLVD SE
HICKORY NC
28602-1450
US
V. Phone/Fax
- Phone: 828-326-7000
- Fax: 828-322-7663
- Phone: 828-326-7000
- Fax: 828-322-7663
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DOUGLAS
E
RABE
Title or Position: VP ASST TREASURER
Credential:
Phone: 469-893-2466