Provider Demographics
NPI:1316269251
Name:DPC - CAP SERVICES
Entity type:Organization
Organization Name:DPC - CAP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-742-1111
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-0340
Mailing Address - Country:US
Mailing Address - Phone:919-742-1111
Mailing Address - Fax:
Practice Address - Street 1:129 SILER CROSSING SHOPPING CENTER
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344
Practice Address - Country:US
Practice Address - Phone:919-742-1111
Practice Address - Fax:919-742-1114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DP COMMUNITY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-19
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2401251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409581Medicaid