Provider Demographics
NPI:1689872483
Name:THE WHIPKEY NHC CORPORATION
Entity type:Organization
Organization Name:THE WHIPKEY NHC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PLAN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHIPKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-332-2930
Mailing Address - Street 1:17210 LANCASTER HWY
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2093
Mailing Address - Country:US
Mailing Address - Phone:704-332-3447
Mailing Address - Fax:704-752-3808
Practice Address - Street 1:17210 LANCASTER HWY
Practice Address - Street 2:SUITE 401
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2093
Practice Address - Country:US
Practice Address - Phone:704-332-3447
Practice Address - Fax:704-752-3808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC817251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare