Provider Demographics
NPI:1821128943
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:PO BOX 1820
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28793-1820
Mailing Address - Country:US
Mailing Address - Phone:828-693-3193
Mailing Address - Fax:828-693-6066
Practice Address - Street 1:143 LAKE LURE HWY
Practice Address - Street 2:
Practice Address - City:BAT CAVE
Practice Address - State:NC
Practice Address - Zip Code:28710-0290
Practice Address - Country:US
Practice Address - Phone:828-625-2322
Practice Address - Fax:828-625-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89013N8Medicaid
CI1672Medicare PIN
NC2324685Medicare PIN