Embrenche

LBN: Embrenche Llc
Embrenche is an health care organization with primary practice located at 2080 Cloverdale Dr , Winston Salem NC 27103-2656. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Embrenche Llc can be contacted via phone (336) 722-8055, or through Hickman, Marty via phone (336) 722-8055.

Contact Information

Primary practice address
2080 Cloverdale Dr Winston Salem NC 27103-2656
Phone: (336) 722-8055
Fax: (336) 553-0665
Website:
Map and Directions
Authorized official contact:
Name: Hickman, Marty
Phone: (336) 722-8055

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1225153687
LBN Legal business name Embrenche Llc
DBA Doing business as Embrenche
Authorized official Hickman, Marty
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 19th, 2007 - about 19 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 1225153687 NPPES
North Carolina MEDICAID 8300216H

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