MEDICARE: OAK HEALTH CARE INVESTORS OF SALISBURY, INC.

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	NH0538	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	953441	OTHER	NC	FACILITY ID #
3	7100188	OTHER	NC	UNITED HEALTH CARE ID #
4	0090R	OTHER	NC	BC/BS #
5	NH0538	OTHER	NC	NH LICENSE #

General Provider Information

NPI Number	:	1851488183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK HEALTH CARE INVESTORS OF SALISBURY, INC.

Provider Business Mailing Address
First Line	:	215 LASH DR
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-9151
Country	:	US
Telephone Number	:	704-637-1182
Fax Number	:	704-638-2328

Provider Business Practice Location Address
First Line	:	215 LASH DR
Second Line	:
City	:	SALISBURY
State	:	NC
Zip	:	28147-9151
Country	:	US
Telephone Number	:	704-637-1182
Fax Number	:	704-638-2328

Authorized Official
Title or Position	:	CFO
Name	:	MR. TIMOTHY PATTON
Credential	:
Telephone Number	:	614-794-8800

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	10/05/2007

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