Alexander Youth Network

LBN: Alexander Youth Network
Alexander Youth Network is an health care organization with primary practice located at 1904 Dallas Cherryville Hwy , Dallas NC 28034-7706. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Alexander Youth Network can be contacted via phone (704) 922-9115, or through Bass, Craig via phone (704) 362-8460.

Contact Information

Primary practice address
1904 Dallas Cherryville Hwy Dallas NC 28034-7706
Fax: (704) 922-0441
Website:
Authorized official contact:
Name: Bass, Craig

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X North Carolina

Profile Details

NPI number 1336266733
LBN Legal business name Alexander Youth Network
DBA Doing business as
Authorized official Bass, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336266733 NPPES
North Carolina MEDICAID 8301801
North Carolina MEDICAID 8301458
North Carolina MEDICAID 8301458R
North Carolina MEDICAID 8301801R

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