Provider Demographics
NPI:1477944395
Name:ALAMANCE COMMUNITY COLLEGE
Entity type:Organization
Organization Name:ALAMANCE COMMUNITY COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT ADMIN. AND FISCAL SE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:DAY
Authorized Official - Last Name:COLLIE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:336-506-4410
Mailing Address - Street 1:1247 JIMMIE KERR RD
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-8597
Mailing Address - Country:US
Mailing Address - Phone:336-506-4153
Mailing Address - Fax:336-578-1987
Practice Address - Street 1:1247 JIMMIE KERR RD
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-8597
Practice Address - Country:US
Practice Address - Phone:336-506-4153
Practice Address - Fax:336-578-1987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental