<Unavail>

LBN: Port Health Services
<Unavail> is an health care organization with primary practice located at 102 Medical Dr Ste A&B , Elizabeth City NC 27909-3361. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Port Health Services can be contacted via phone (252) 335-0803, or through Beavers, Brett via phone (919) 210-7661.

Contact Information

Primary practice address
102 Medical Dr Ste A&B Elizabeth City NC 27909-3361
Phone: (252) 335-0803
Fax: (252) 331-1796
Website:
Map and Directions
Authorized official contact:
Name: Beavers, Brett
Phone: (919) 210-7661

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1518195072
LBN Legal business name Port Health Services
DBA Doing business as <Unavail>
Authorized official Beavers, Brett
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2009
Last updated May 24th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518195072 NPPES
North Carolina MEDICAID 6006852

Popular Providers