Lifespan Incorporated

LBN: Lifespan Incorporated
Lifespan Incorporated is an health care organization with primary practice located at 2070 River Road , North Wilkesboro NC 28659. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lifespan Incorporated can be contacted via phone (704) 944-5100, or through Devore, Robin via phone (704) 944-5100.

Contact Information

Primary practice address
2070 River Road North Wilkesboro NC 28659
Phone: (704) 944-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Devore, Robin
Phone: (704) 944-5100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 097-078 North Carolina

Profile Details

NPI number 1639696941
LBN Legal business name Lifespan Incorporated
DBA Doing business as
Authorized official Devore, Robin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2017
Last updated Aug 28th, 2017 - about 8 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 1639696941 NPPES
North Carolina MEDICAID 3408802

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