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NPI Code Detail

MEDICARE: EASTERSEALS UCP

MEDICARE: EASTERSEALS UCP
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871638379
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTERSEALS UCP
Provider Business Mailing Address
First Line : 2315 MYRON DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-3344
Country : US
Telephone Number : 704-566-6040
Fax Number : 704-971-2537
Provider Business Practice Location Address
First Line : 5700 EXECUTIVE CENTER DR
Second Line : SUITE 110
City : CHARLOTTE
State : NC
Zip : 28212-8858
Country : US
Telephone Number : 704-566-6040
Fax Number : 704-971-2537
Authorized Official
Title or Position : ACCOUNTS RECEIVABLE SPECIALIST
Name : KATHY SAUNDERS
Credential :
Telephone Number : 704-566-6040
Provider Enumeration Date : 02/21/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1124064217 — MRS. ERIN L CAMPBELL OTRL
Practice Location Address:
5700 EXECUTIVE CENTER DR , SUITE 115
CHARLOTTE, NC
28212-8858
Practice Phone: 704-566-6040
Practice Fax: 704-525-9337
1073534384 — KELLY L KELLERMAN LCSW
Practice Location Address:
5700 EXECUTIVE CENTER DR , SUITE 110
CHARLOTTE, NC
28212-8858
Practice Phone: 704-525-3255
Practice Fax: 704-525-0949
1649326455 — MRS. MENDY ANNETTE BAXTER MS OTRL
Practice Location Address:
5700 EXECUTIVE CENTER DR , SUITE 110
CHARLOTTE, NC
28212-8858
Practice Phone: 704-566-6040
Practice Fax:
1306984265 — EASTERSEALS UCP NORTH CAROLINA
Practice Location Address:
5700 EXECUTIVE CENTER DR , SUITE 110
CHARLOTTE, NC
28212-8858
Practice Phone: 704-566-6040
Practice Fax: 704-971-2537
1457499014 — EASTERSEALS UCP NORTH CAROLINA
Practice Location Address:
5700 EXECUTIVE CENTER DR , SUITE 110
CHARLOTTE, NC
28212-8858
Practice Phone: 704-566-6040
Practice Fax: 704-971-2537
1902946684 — MS. LINDA MARIE SILVER MSW, LCSW
Practice Location Address:
5700 EXECUTIVE CENTER DR , SUITE 110
CHARLOTTE, NC
28212-8858
Practice Phone: 704-525-3255
Practice Fax:

Directions to “EASTERSEALS UCP ” Practice Location

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