Phoenix Bridge Community Services

LBN: Phoenix Bridge Community Services
Phoenix Bridge Community Services is an health care organization with primary practice located at 909A South Main Street , Burlington NC 27215. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Phoenix Bridge Community Services can be contacted via phone (336) 222-8522, or through Jones, Wendy Renee via phone (336) 222-8522.

Contact Information

Primary practice address
909A South Main Street Burlington NC 27215
Phone: (336) 222-8522
Fax: (336) 222-8533
Website:
Map and Directions
Authorized official contact:
Name: Jones, Wendy Renee
Phone: (336) 222-8522

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1619158227
LBN Legal business name Phoenix Bridge Community Services
DBA Doing business as
Authorized official Jones, Wendy Renee
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 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 1619158227 NPPES
North Carolina MEDICAID 8301363

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