<Unavail>
LBN: Pride In North Carolina, Llc
<Unavail> is an health care organization with primary practice located at 110-B Branchwood Drive , Jacksonville NC 28546-5900. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Pride In North Carolina, Llc can be contacted via phone (910) 938-9833, or through Rutski, Jason via phone (910) 452-1460.
Contact Information
Primary practice address
110-B Branchwood Drive
Jacksonville NC 28546-5900
Phone: (910) 938-9833
Fax: (910) 938-9835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1821136581 |
|---|---|
| LBN Legal business name | Pride In North Carolina, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Rutski, Jason |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Oct 4th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821136581 | NPPES |
| North Carolina | MEDICAID | 8300338B | |
| North Carolina | MEDICAID | 8300338G | |
| North Carolina | MEDICAID | 8300338 |
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