Provider Demographics
NPI:1073553426
Name:RHC & ALLIED HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:RHC & ALLIED HEALTH ASSOCIATES
Other - Org Name:SLATER ACADEMY FAMILY MEDICINE & URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OTHINEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-722-7800
Mailing Address - Street 1:3009 WAUGHTOWN ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-1634
Mailing Address - Country:US
Mailing Address - Phone:336-722-7800
Mailing Address - Fax:336-722-7805
Practice Address - Street 1:3009 WAUGHTOWN ST
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-1634
Practice Address - Country:US
Practice Address - Phone:336-722-7800
Practice Address - Fax:336-722-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89014UKMedicaid
NC89014UKMedicaid