Highland Clinic

LBN: Highland Clinic
Highland Clinic is an health care organization with primary practice located at 823 Elm St Ste 207 , Fayetteville NC 28303-4164. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is the primary health care specialty. Highland Clinic can be contacted via phone (910) 678-2088, or through Wilson, Calvin via phone (910) 678-2088.

Contact Information

Primary practice address
823 Elm St Ste 207 Fayetteville NC 28303-4164
Fax: (910) 678-0915
Website:
Authorized official contact:
Name: Wilson, Calvin

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34418 North Carolina
Managed Care Organizations / Point of Service 305S00000X 34418 North Carolina

Profile Details

NPI number 1326289943
LBN Legal business name Highland Clinic
DBA Doing business as
Authorized official Wilson, Calvin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2009
Last updated Mar 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326289943 NPPES
North Carolina MEDICAID 8961588

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