<Unavail>

LBN: Charles Graham
<Unavail> is an health care organization with primary practice located at 4820 Fayetteville Rd , Lumberton NC 28358-2112. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Charles Graham can be contacted via phone (910) 608-0430, or through Graham, Charles Vinson via phone (910) 608-0430.

Contact Information

Primary practice address
4820 Fayetteville Rd Lumberton NC 28358-2112
Phone: (910) 608-0430
Fax: (910) 608-0464
Website:
Map and Directions
Authorized official contact:
Name: Graham, Charles Vinson
Phone: (910) 608-0430

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X HC1604 North Carolina

Profile Details

NPI number 1588704159
LBN Legal business name Charles Graham
DBA Doing business as <Unavail>
Authorized official Graham, Charles Vinson
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 26th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588704159 NPPES
North Carolina MEDICAID 7703169

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