Community Innovations, Inc.

LBN: Community Innovations, Inc.
Community Innovations, Inc. is an health care organization with primary practice located at 1104 W. Broad St , Elizabethtown NC 28337. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Community Innovations, Inc. can be contacted via phone (910) 862-8363, or through Anderson, Andy via phone (910) 739-8849.

Contact Information

Primary practice address
1104 W. Broad St Elizabethtown NC 28337
Phone: (910) 862-8363
Fax: (910) 862-8767
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Andy
Phone: (910) 739-8849

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X North Carolina
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X North Carolina

Profile Details

NPI number 1740350446
LBN Legal business name Community Innovations, Inc.
DBA Doing business as
Authorized official Anderson, Andy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
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 1740350446 NPPES
North Carolina MEDICAID 8300962

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