Community Intervention Services Agency

LBN: Benjamin House, Inc.
Community Intervention Services Agency is an health care organization with primary practice located at 1221 Carolina Ave Suite 3, Elizabeth City NC 27909-5458. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Benjamin House, Inc. can be contacted via phone (252) 331-7731, or through Gilbert, David E via phone (252) 331-7731.

Contact Information

Primary practice address
1221 Carolina Ave Suite 3 Elizabeth City NC 27909-5458
Phone: (252) 331-7731
Fax: (252) 331-1777
Website:
Map and Directions
Authorized official contact:
Name: Gilbert, David E QP
Phone: (252) 331-7731

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 8300836 North Carolina

Profile Details

NPI number 1588864482
LBN Legal business name Benjamin House, Inc.
DBA Doing business as Community Intervention Services Agency
Authorized official Gilbert, David E QP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2007
Last updated Jul 19th, 2007 - about 17 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 1588864482 NPPES
North Carolina MEDICAID 8300836

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