=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912532276
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2020
-----------------------------------------------------
Last Update Date | 03/06/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2020 K ST NW STE 900
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20006-1872
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-284-5653
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2020 K ST NW STE 900
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20006-1872
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-284-5653
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF STRATEGY AND INNOVATION
-----------------------------------------------------
Name | RON URWONGSE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-448-6000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 247000000X
-----------------------------------------------------
Taxonomy Name | Health Information Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------