Cardinal Clinic Llc
LBN: Cardinal Clinic Llc
Cardinal Clinic Llc is an health care organization with primary practice located at 1540 Purdue Dr Ste 200 , Fayetteville NC 28303-5510. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty.
Cardinal Clinic Llc can be contacted via phone (910) 867-8889, or through Westrick, Mark A via phone (910) 222-6234.
Contact Information
Primary practice address
1540 Purdue Dr Ste 200
Fayetteville NC 28303-5510
Phone: (910) 867-8889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1609925668 |
|---|---|
| LBN Legal business name | Cardinal Clinic Llc |
| DBA Doing business as | |
| Authorized official | Westrick, Mark A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Sep 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609925668 | NPPES |
| North Carolina | MEDICAID | 6005134 | |
| North Carolina | MEDICAID | 6005172 |
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