<Unavail>

LBN: Mecklenburg County Provided Services Organization
<Unavail> is an health care organization with primary practice located at 3500 Ellington St Carlton Watkins Center, Charlotte NC 28211-1102. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mecklenburg County Provided Services Organization can be contacted via phone (704) 336-7100, or through Mele, Connie C. via phone (704) 336-7155.

Contact Information

Primary practice address
3500 Ellington St Carlton Watkins Center Charlotte NC 28211-1102
Phone: (704) 336-7100
Fax: (704) 336-7112
Website:
Map and Directions
Authorized official contact:
Name: Mele, Connie C. MSN,RN,LCAS,PMHCNS-B
Phone: (704) 336-7155

Health care specialties

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

Profile Details

NPI number 1215299938
LBN Legal business name Mecklenburg County Provided Services Organization
DBA Doing business as <Unavail>
Authorized official Mele, Connie C. MSN,RN,LCAS,PMHCNS-B
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2012
Last updated Jun 8th, 2012 - about 14 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 1215299938 NPPES
North Carolina MEDICAID 8301100G

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