| Chiron-health Llc | |
|
319 E 3rd Ave Gastonia NC 28054-0435 | |
| (704) 251-9022 | |
| Not Available |
| Full Name | Chiron-health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 319 E 3rd Ave, Gastonia, North Carolina |
| Authorized Official Name and Position | Zainab Khan (CEO) |
| Authorized Official Contact | 3124518066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiron-health Llc 319 E 3rd Ave Gastonia NC 28054-0435 Ph: (704) 251-9022 | Chiron-health Llc 319 E 3rd Ave Gastonia NC 28054-0435 Ph: (704) 251-9022 |
| NPI Number | 1720765449 |
|---|---|
| Provider Enumeration Date | 07/04/2023 |
| Last Update Date | 07/04/2023 |
| Certification Date | 07/04/2023 |
| Medicare PECOS PAC ID | 9739611542 |
|---|---|
| Medicare Enrollment ID | O20241017004247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720765449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tanya Dortin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366018145 PECOS PAC ID: 9830592138 Enrollment ID: I20210723002485 |
| Provider Name | Hos C Loftus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295719920 PECOS PAC ID: 7113963729 Enrollment ID: I20211102000840 |
| Provider Name | Zainab Khan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780307553 PECOS PAC ID: 0648702456 Enrollment ID: I20241017004276 |
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