Footprints Carolina, Inc

LBN: Footprints Carolina, Inc
Footprints Carolina, Inc is an health care organization with primary practice located at 311 Mcbee St , Lincolnton NC 28092-2818. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. Footprints Carolina, Inc can be contacted via phone (704) 735-5633, or through Anderson, Richard via phone (704) 884-2500.

Contact Information

Primary practice address
311 Mcbee St Lincolnton NC 28092-2818
Fax: (704) 735-1924
Website:
Authorized official contact:
Name: Anderson, Richard BS

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1609057165
LBN Legal business name Footprints Carolina, Inc
DBA Doing business as
Authorized official Anderson, Richard BS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2007
Last updated Dec 3rd, 2007 - 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 1609057165 NPPES
North Carolina MEDICAID 5903099
North Carolina MEDICAID 8300450H
North Carolina MEDICAID 8300450
North Carolina MEDICAID 8300450B
North Carolina MEDICAID 6005759
North Carolina MEDICAID 8300450G

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