NPIViewer - Provider NPI 1316063456

NPI:	1316063456
Name:	CNC/ACCESS, INC.
Entity type:	Organization
Organization Name:	CNC/ACCESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:	PRIVACY OFFICER
Authorized Official - Prefix:	MS
Authorized Official - First Name:	DEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:	OMBRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	502-394-2387
Mailing Address - Street 1:	9901 LINN STATION RD
Mailing Address - Street 2:
Mailing Address - City:	LOUISVILLE
Mailing Address - State:	KY
Mailing Address - Zip Code:	40223-3808
Mailing Address - Country:	US
Mailing Address - Phone:	800-866-0860
Mailing Address - Fax:
Practice Address - Street 1:	617 S GREEN ST
Practice Address - Street 2:	SUITE 300
Practice Address - City:	MORGANTON
Practice Address - State:	NC
Practice Address - Zip Code:	28655-3517
Practice Address - Country:	US
Practice Address - Phone:	828-433-8181
Practice Address - Fax:
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2007-03-21
Last Update Date:	2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification
Yes	251S00000X	Agencies	Community/Behavioral Health
No	251B00000X	Agencies	Case Management
No	251C00000X	Agencies	Day Training, Developmentally Disabled Services
No	251E00000X	Agencies	Home Health

State	Identifier ID	ID Type
NC	5902504	Medicaid
NC	6005524	Medicaid
NC	6600528	Medicaid
NC	6600720	Medicaid
NC	8300520	Medicaid
NC	8300520B	Medicaid
NC	8300522	Medicaid
NC	8300528B	Medicaid
NC	8300499	Medicaid
NC	8300522G	Medicaid
NC	8300534B	Medicaid
NC	5904334	Medicaid
NC	6005522	Medicaid
NC	6005616	Medicaid
NC	6600192	Medicaid
NC	6601177	Medicaid
NC	8300522B	Medicaid
NC	8300524	Medicaid
NC	8300524B	Medicaid
NC	8300646	Medicaid
NC	8300500	Medicaid
NC	8300524G	Medicaid
NC	8300526	Medicaid
NC	8300646B	Medicaid
NC	8300787B	Medicaid
NC	5902409	Medicaid
NC	8300534	Medicaid
NC	6005557	Medicaid
NC	8300500G	Medicaid
NC	8300520G	Medicaid
NC	8300523	Medicaid
NC	8300523B	Medicaid
NC	8300524H	Medicaid
NC	8300528	Medicaid
NC	8300787G	Medicaid
NC	5902716	Medicaid
NC	6005525	Medicaid
NC	6005757	Medicaid
NC	6600195	Medicaid
NC	8300499B	Medicaid
NC	8300499G	Medicaid
NC	8300523G	Medicaid
NC	5902408	Medicaid
NC	5902427	Medicaid
NC	6005617	Medicaid
NC	8300534G	Medicaid
NC	8300787	Medicaid