EASTERN BAND OF CHEROKEE INDIANS NPI 1710029756

NPI Information

NPI: 1710029756
Provider Name: EASTERN BAND OF CHEROKEE INDIANS

Former Legal Business Name: CHEROKEE DIABETES PROGRAM

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
806 ACQUONI RD.
SUITE 100
CHEROKEE, NC
ZIP 28719
Phone: (828) 497-1996
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EASTERN BAND OF CHEROKEE INDIANS is a federally qualified health center (fqhc) clinic center in Cherokee, NC. EASTERN BAND OF CHEROKEE INDIANS NPI is 1710029756. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cherokee Diabetes Program.

The provider's business location address is:

806 ACQUONI RD.
SUITE 100
CHEROKEE, NC
ZIP 28719
Phone: (828) 497-1996

The provider's authorized official is Sally Bradley .
The authorized official title is Program Manager and has the following contact phone number (828) 497-1996.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 1/28/2009.

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	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	344572A	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	341904	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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