Provider Demographics
NPI:1194905158
Name:QUALITY HEALTHCARE ASSOCIATES
Entity type:Organization
Organization Name:QUALITY HEALTHCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PRACTICE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANCHYSHYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-693-3193
Mailing Address - Street 1:PO BOX 1820
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28793-1820
Mailing Address - Country:US
Mailing Address - Phone:828-693-3193
Mailing Address - Fax:828-693-6066
Practice Address - Street 1:611 5TH AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4260
Practice Address - Country:US
Practice Address - Phone:828-692-4643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2324685AMedicare PIN