Impact

LBN: Impact
Impact is an health care organization with primary practice located at 3080 Jamestown Dr , Gastonia NC 28054-6056. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Impact can be contacted via phone (704) 718-3480, or through Adedokun, Joseph via phone (704) 718-3480.

Contact Information

Primary practice address
3080 Jamestown Dr Gastonia NC 28054-6056
Phone: (704) 718-3480
Fax: (704) 852-4488
Website:
Map and Directions
Authorized official contact:
Name: Adedokun, Joseph PH.D.
Phone: (704) 718-3480

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 795 North Carolina

Profile Details

NPI number 1194973586
LBN Legal business name Impact
DBA Doing business as
Authorized official Adedokun, Joseph PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2008
Last updated Aug 28th, 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 1194973586 NPPES
North Carolina MEDICAID 6111767

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