Country Pines Gc

LBN: Country Pines Inc
Country Pines Gc is an health care organization with primary practice located at 2308 Oakdale Rd , La Grange NC 28551-8627. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Country Pines Inc can be contacted via phone (252) 747-4868, or through Sauls, Kenneth Michael via phone (919) 778-4009.

Contact Information

Primary practice address
2308 Oakdale Rd La Grange NC 28551-8627
Phone: (252) 747-4868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sauls, Kenneth Michael BS BUSINESS
Phone: (919) 778-4009

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL040014 North Carolina

Profile Details

NPI number 1467672535
LBN Legal business name Country Pines Inc
DBA Doing business as Country Pines Gc
Authorized official Sauls, Kenneth Michael BS BUSINESS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 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 1467672535 NPPES
North Carolina MEDICAID 7804005

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