Dixon Social Interactive Services Inc

LBN: Dixon Social Interactive Services Inc
Dixon Social Interactive Services Inc is an health care organization with primary practice located at 113 W Firetower Rd Ste A , Winterville NC 28590-8414. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Dixon Social Interactive Services Inc can be contacted via phone (252) 353-0100, or through Dixon, Derria Nolen via phone (252) 258-8946.

Contact Information

Primary practice address
113 W Firetower Rd Ste A Winterville NC 28590-8414
Fax: (252) 353-0600
Website:
Authorized official contact:
Name: Dixon, Derria Nolen

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1659491728
LBN Legal business name Dixon Social Interactive Services Inc
DBA Doing business as
Authorized official Dixon, Derria Nolen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 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 1659491728 NPPES
North Carolina MEDICAID 6005438
North Carolina MEDICAID 8300652

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