Diversified Choice

LBN: Diversified Choice
Diversified Choice is an health care organization with primary practice located at 5032 Hutchins St , Winston Salem NC 27106-2353. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Diversified Choice can be contacted via phone (336) 923-2817, or through Barbour, Jeffrey A via phone (336) 926-9032.

Contact Information

Primary practice address
5032 Hutchins St Winston Salem NC 27106-2353
Phone: (336) 923-2817
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barbour, Jeffrey A
Phone: (336) 926-9032

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1114058104
LBN Legal business name Diversified Choice
DBA Doing business as
Authorized official Barbour, Jeffrey A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 3rd, 2008 - about 18 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 1114058104 NPPES
North Carolina MEDICAID 3409483

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