Provider Demographics
NPI:1700053964
Name:CARDINAL SYSTEMS GROUP, INC.
Entity type:Organization
Organization Name:CARDINAL SYSTEMS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT & DIRECTOR OF SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:BUTCH
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-389-0000
Mailing Address - Street 1:964 NC HIGHWAY 69N
Mailing Address - Street 2:SUITE #10
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-5002
Mailing Address - Country:US
Mailing Address - Phone:828-389-0000
Mailing Address - Fax:828-389-0000
Practice Address - Street 1:964 NC HIGHWAY 69N
Practice Address - Street 2:SUITE #10
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-5002
Practice Address - Country:US
Practice Address - Phone:828-389-0000
Practice Address - Fax:828-389-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA383752178AMedicaid
NC3418173Medicaid