Provider Demographics
NPI:1124182910
Name:QUALITY HEALTHCARE ASSOCIATES
Entity Type:Organization
Organization Name:QUALITY HEALTHCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:PYLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-692-2231
Mailing Address - Street 1:643 5TH AVE W
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4205
Mailing Address - Country:US
Mailing Address - Phone:828-693-5225
Mailing Address - Fax:
Practice Address - Street 1:643 5TH AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4205
Practice Address - Country:US
Practice Address - Phone:828-693-5225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8901133Medicaid
NC2324685BMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
NC8901133Medicaid