MEDICARE: CORPORATE HEALTH INTERNATIONAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1275805137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORPORATE HEALTH INTERNATIONAL

Provider Business Mailing Address
First Line	:	5925 CARNEGIE BLVD
Second Line	:	SUITE 350
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-4655
Country	:	US
Telephone Number	:	704-529-1428
Fax Number	:	704-529-5917

Provider Business Practice Location Address
First Line	:	5925 CARNEGIE BLVD
Second Line	:	SUITE 350
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-4655
Country	:	US
Telephone Number	:	704-529-1428
Fax Number	:	704-529-5917

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MOIRA LOCASCIO
Credential	:
Telephone Number	:	704-529-1428

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	02/07/2012

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Directions to “CORPORATE HEALTH INTERNATIONAL ” Practice Location

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