Edgecombe-Nash Mental Health Clinic Beacon Center

LBN: Edgecombe-Nash Mental Health Clinic Beacon Center
Edgecombe-Nash Mental Health Clinic Beacon Center is an health care organization with primary practice located at 500 Nash Medical Arts Mall , Rocky Mount NC 27804-1417. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Edgecombe-Nash Mental Health Clinic Beacon Center can be contacted via phone (252) 937-8141, or through Rackley, Nancy via phone (252) 937-8141.

Contact Information

Primary practice address
500 Nash Medical Arts Mall Rocky Mount NC 27804-1417
Fax: (252) 443-9574
Website:
Authorized official contact:
Name: Rackley, Nancy

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1740388347
LBN Legal business name Edgecombe-Nash Mental Health Clinic Beacon Center
DBA Doing business as
Authorized official Rackley, Nancy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 18th, 2008 - about 16 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 1740388347 NPPES
North Carolina MEDICAID 8301065
North Carolina Other 3404937E
North Carolina MEDICAID 8301065G
North Carolina Other 3404937
North Carolina MEDICAID 5901411
North Carolina Other 0182
North Carolina MEDICAID 3408170
North Carolina MEDICAID 6005570

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