Arthur Fenner Outreach Center

LBN: Arthur Fenner Outreach Center Llc
Arthur Fenner Outreach Center is an health care organization with primary practice located at 3 E. 4Th Street Weldon, Nc 27890 , Weldon NC 27890. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Arthur Fenner Outreach Center Llc can be contacted via phone (252) 676-5701, or through Green, Martha Lee via phone (252) 676-5701.

Contact Information

Primary practice address
3 E. 4Th Street Weldon, Nc 27890 Weldon NC 27890
Phone: (252) 676-5701
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Martha Lee
Phone: (252) 676-5701

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1144947235
LBN Legal business name Arthur Fenner Outreach Center Llc
DBA Doing business as Arthur Fenner Outreach Center
Authorized official Green, Martha Lee
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2022
Last updated Dec 21st, 2022 - about 2 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 1144947235 NPPES
North Carolina MEDICAID 5005077

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