Provider Demographics
NPI:1841231552
Name:CAROLINA REGIONAL HEART CENTER, LLC
Entity Type:Organization
Organization Name:CAROLINA REGIONAL HEART CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-878-6904
Mailing Address - Street 1:601 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4331
Mailing Address - Country:US
Mailing Address - Phone:336-878-6904
Mailing Address - Fax:
Practice Address - Street 1:1219 LEXINGTON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2870
Practice Address - Country:US
Practice Address - Phone:336-475-5337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty