| NPI | 1841297553 |
|---|---|
| Doing Business As | NORTHEAST MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK S NANTZ CFO 704-783-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NC 110031) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |