Reginald L. Harris Annex

LBN: Reginald L. Harris Annex
Reginald L. Harris Annex is an health care organization with primary practice located at 615 Ridge Rd , Roxboro NC 27573-4629. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Reginald L. Harris Annex can be contacted via phone (336) 599-2121, or through James, Craig via phone (336) 599-2121.

Contact Information

Primary practice address
615 Ridge Rd Roxboro NC 27573-4629
Phone: (336) 599-2121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: James, Craig
Phone: (336) 599-2121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X H0066 North Carolina

Profile Details

NPI number 1053370833
LBN Legal business name Reginald L. Harris Annex
DBA Doing business as
Authorized official James, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1053370833 NPPES
North Carolina MEDICAID 3405004
North Carolina Other 00904
North Carolina MEDICAID 3496588

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