Evergreen Health Services, Llc

LBN: Evergreen Health Services, Llc
Evergreen Health Services, Llc is an health care organization with primary practice located at 4276 Legend Ave , Fayetteville NC 28303-1965. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Evergreen Health Services, Llc can be contacted via phone (910) 867-0035, or through Byrd, Brenton Blake via phone (910) 640-5512.

Contact Information

Primary practice address
4276 Legend Ave Fayetteville NC 28303-1965
Phone: (910) 867-0035
Fax: (910) 867-0545
Website:
Map and Directions
Authorized official contact:
Name: Byrd, Brenton Blake
Phone: (910) 640-5512

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1578704466
LBN Legal business name Evergreen Health Services, Llc
DBA Doing business as
Authorized official Byrd, Brenton Blake
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2009
Last updated Mar 23rd, 2009 - about 15 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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