Look up the most recent NPI and PECOS records

Clinical Associates Healthcare

Community/Behavioral Health

Agencies

5854 Faringdon Place, Suite 2, Raleigh, NC 27609

PECOS Enrollment

Based on the most recent information from CMS, provider Clinical Associates Healthcare does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679807051
Provider Type
Organization
Full Name
Clinical Associates Healthcare

Subpart
No
Enumeration Date
10/1/2009
Last Updated
10/1/2009

Contact Information

Practice Location

5854 Faringdon Place, Suite 2, Raleigh, NC 27609

(919) 395-1322

Unlisted Fax

Mailing Location

5854 Faringdon Pl, Suite 2, Raleigh, NC 27609-3931

(919) 395-1322

Unlisted Fax

Authorized Official

Young, Jeanice Marie (Owner)

(919) 395-1322

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License 112596 North Carolina

Clinical Associates Healthcare

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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