Goldsboro Psychiatric Clinic Pa

LBN: Goldsboro Psychiatric Clinic Pa
Goldsboro Psychiatric Clinic Pa is an health care organization with primary practice located at 1506 Wayne Memorial Dr Suite H, Goldsboro NC 27534-2202. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Goldsboro Psychiatric Clinic Pa can be contacted via phone (919) 736-4722, or through Hoeper, Edwin William via phone (919) 736-4722.

Contact Information

Primary practice address
1506 Wayne Memorial Dr Suite H Goldsboro NC 27534-2202
Fax: (919) 734-3442
Website:
Authorized official contact:
Name: Hoeper, Edwin William Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1790810562
LBN Legal business name Goldsboro Psychiatric Clinic Pa
DBA Doing business as
Authorized official Hoeper, Edwin William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 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 1790810562 NPPES
North Carolina Other 014E BLUE CROSS BLUE SHIELD

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