PQA HEALTHCARE,INC (NPI# 1922430677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922430677 |
| Entity Type | Organization |
| Organization Name | PQA HEALTHCARE,INC |
| Practice Address |
452 Franklin St Mount Airy NC 27030-4508 |
| Mailing Address |
701 S Main St Dobson NC 27017-8593 |
| Practice Telephone | 3367861751 |
| Mailing Telephone | (336) 356-2600 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | KHALIL NASSAR (CEO) |
| Authorized Official Telephone | 3363562600 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659703718 | Pqa Healthcare,inc | Community/Behavioral Health | 409 E Front St, Statesville, NC 28677-5908 | 2013-07-31 |
| Street Address |
452 FRANKLIN ST |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508982323 | Barium Springs Home for Children | Community/Behavioral Health | 1249 North South Street, No 100, Mount Airy, NC 27030-3850 | 2007-03-22 |
| 1740312198 | Carolina Residential Services, Inc. | Community/Behavioral Health | 145 N Gilmer St, Mount Airy, NC 27030-3842 | 2007-03-12 |
| 1700911211 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 150 Franklin St, Mount Airy, NC 27030-4502 | 2007-02-23 |
| 1700929445 | Carolina Residential Services, Inc | Community/Behavioral Health | 910 Spring St, Mount Airy, NC 27030-5512 | 2007-02-14 |
| 1073693149 | Behavioral Services, Inc. | Community/Behavioral Health | 2342 S Main St, Mount Airy, NC 27030-6365 | 2006-10-16 |
| 1386076453 | Pqa Healthcare, Inc | Community/Behavioral Health | 140 Franklin St, Mount Airy, NC 27030-4502 | 2013-07-31 |
| 1912181140 | Partnership for A Drug Free Nc Inc | Community/Behavioral Health | 351 Riverside Dr, Mount Airy, NC 27030-3877 | 2007-12-24 |
| 1053512376 | New River Service Authority | Community/Behavioral Health | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3878 | 2007-05-31 |
| 1144356049 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 150 Franklin St, Mount Airy, NC 27030-4502 | 2007-02-26 |
| 1679619852 | Triumph LLC | Community/Behavioral Health | 351 Riverside Dr, Suite 100, Mount Airy, NC 27030-3850 | 2007-01-29 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on PQA HEALTHCARE,INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.