<Unavail>

LBN: Sampson Regional Professional Services
<Unavail> is an health care organization with primary practice located at 518 Beaman St , Clinton NC 28328-2602. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Sampson Regional Professional Services can be contacted via phone (910) 596-4288, or through Balltzglier, Hunter via phone (910) 590-8755.

Contact Information

Primary practice address
518 Beaman St Clinton NC 28328-2602
Phone: (910) 596-4288
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Balltzglier, Hunter
Phone: (910) 590-8755

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200301024 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1316298458
LBN Legal business name Sampson Regional Professional Services
DBA Doing business as <Unavail>
Authorized official Balltzglier, Hunter
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2012
Last updated Jul 21st, 2022 - about 4 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 1316298458 NPPES
North Carolina Other 00492 BCBS

Popular Providers