Basic Information
| Provider Information | |||||||||
| NPI: | 1629108758 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | QUALITY HEALTHCARE ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1820 | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287931820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286933193 | ||||||||
| FaxNumber: | 8286936066 | ||||||||
| Practice Location | |||||||||
| Address1: | 705 6TH AVE W STE B | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287394161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286933193 | ||||||||
| FaxNumber: | 8286936066 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | PYLES | ||||||||
| AuthorizedOfficialFirstName: | JERALD | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8286922231 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 7901137 | 05 | NC | MEDICAID |