Gretchen Ann Mccord

LBN: Gretchen Ann Mccord
Gretchen Ann Mccord is an health care organization with primary practice located at 306 Paddock Place , Jacksonville NC 28546. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Gretchen Ann Mccord can be contacted via phone (910) 219-0635, or through Mccord, Gretchen Ann via phone (910) 219-0635.

Contact Information

Primary practice address
306 Paddock Place Jacksonville NC 28546
Phone: (910) 219-0635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccord, Gretchen Ann
Phone: (910) 219-0635

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL-067-112 North Carolina

Profile Details

NPI number 1811001688
LBN Legal business name Gretchen Ann Mccord
DBA Doing business as
Authorized official Mccord, Gretchen Ann
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Oct 2nd, 2008 - about 17 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 1811001688 NPPES
North Carolina MEDICAID 3409047

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