CAMINO COMMUNITY DEVELOPMENT CORPORATION NPI 1588984348

NPI Information

NPI: 1588984348
Provider Name: CAMINO COMMUNITY DEVELOPMENT CORPORATION

Doing Business As: BETHESDA HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
133 STETSON DR
CHARLOTTE, NC
ZIP 28262
Phone: (704) 596-5606
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CAMINO COMMUNITY DEVELOPMENT CORPORATION is a primary care clinic center in Charlotte, NC. CAMINO COMMUNITY DEVELOPMENT CORPORATION NPI is 1588984348. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bethesda Health Center.

The provider's business location address is:

133 STETSON DR
CHARLOTTE, NC
ZIP 28262-326
Phone: (704) 596-5606
Fax: (704) 596-7570

The provider's authorized official is Sharisse Johnson .
The authorized official title is Executive Director and has the following contact phone number (704) 258-1622.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 1/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363L00000X	Nurse Practitioner		No
2	101YM0800X	Counselor	Mental Health	No
3	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
4	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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