| Oasis Clinical Care Management, Llc | |
|
6101 Idlewild Rd Suite 127 Charlotte NC 28212-0517 | |
| (704) 536-8381 | |
| (704) 536-8383 |
| Full Name | Oasis Clinical Care Management, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6101 Idlewild Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Lillian Roach (ADMIN) |
| Authorized Official Contact | 7045368381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Clinical Care Management, Llc 1501 N Charlotte Ave Monroe NC 28110-2525 Ph: (704) 536-8381 | Oasis Clinical Care Management, Llc 6101 Idlewild Rd Suite 127 Charlotte NC 28212-0517 Ph: (704) 536-8381 |
| NPI Number | 1598907123 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598907123 | NPI | - | NPPES |
| 8302530B | Medicaid | NC | |
| 8302530H | Medicaid | NC | |
| 8302530G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6005982 (North Carolina) | Primary |
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