Provider Demographics
NPI:1740413574
Name:REHABILITATION INSTITUTE OF THE CAROLINAS
Entity Type:Organization
Organization Name:REHABILITATION INSTITUTE OF THE CAROLINAS
Other - Org Name:NOVANT HEART & WELLNESS RALEIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT FMC & COO GREATER W-SALEM
Authorized Official - Prefix:
Authorized Official - First Name:JEFFEREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-384-6370
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8300 HEALTH PARK
Practice Address - Street 2:SUITE 107
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-4730
Practice Address - Country:US
Practice Address - Phone:919-846-7312
Practice Address - Fax:919-846-7314
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABILITATION INSTITUTE OF THE CAROLINAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-27
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5913097OtherCAROLINA ACCESS MEDICAID
NC5913097Medicaid
NC2309945Medicare UPIN