Provider Demographics
NPI:1861589194
Name:OAK HEALTH CARE INVESTORS OF NORTH CAROLINA, INC.
Entity type:Organization
Organization Name:OAK HEALTH CARE INVESTORS OF NORTH CAROLINA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-794-8800
Mailing Address - Street 1:1101 HARTWELL ST
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-3675
Mailing Address - Country:US
Mailing Address - Phone:919-772-8888
Mailing Address - Fax:919-772-8436
Practice Address - Street 1:1101 HARTWELL ST
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3675
Practice Address - Country:US
Practice Address - Phone:919-772-8888
Practice Address - Fax:919-772-8436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0506332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0082MOtherBC/BS #
NC345389Medicaid
NCNH0506OtherNH LICENSE #
NC7105588OtherUNITED HEALTH CARE ID #
NC923173OtherFACILITY ID #
NC345389Medicaid