Provider Demographics
NPI:1700397304
Name:CDT HEALTHCARE
Entity Type:Organization
Organization Name:CDT HEALTHCARE
Other - Org Name:CENTRAL PIEDMONT URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SERVICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-716-6602
Mailing Address - Street 1:PO BOX 32785
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28232-2785
Mailing Address - Country:US
Mailing Address - Phone:919-663-3911
Mailing Address - Fax:919-663-3011
Practice Address - Street 1:101 WALMART SUPERCENTER
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-6755
Practice Address - Country:US
Practice Address - Phone:919-663-3911
Practice Address - Fax:919-663-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty