NPI 1629322292

South East Mecklenburg County Health Department

Organisation Health Maintenance Organization Charlotte, NC

Practice location

Address: 429 Billingsley Road, Charlotte, NC 28211-1089
Phone: (704) 336-6404

Authorised official

Name: Philip Richard Endress
Title: Director
Phone: (704) 336-8638

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1629322292
Entity type: Organization
NPI issued: 5 Nov 2012
Record last updated: 26 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.