Imh Professional Path

LBN: Imh Professional Path
Imh Professional Path is an health care organization with primary practice located at 557 Brookdale Drive , Statesville NC 28677. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Imh Professional Path can be contacted via phone (704) 873-5661, or through Rush, Ed via phone (704) 873-5661.

Contact Information

Primary practice address
557 Brookdale Drive Statesville NC 28677
Phone: (704) 873-5661
Fax: (704) 878-4611
Website:
Map and Directions
Authorized official contact:
Name: Rush, Ed
Phone: (704) 873-5661

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1083684518
LBN Legal business name Imh Professional Path
DBA Doing business as
Authorized official Rush, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083684518 NPPES
North Carolina MEDICAID 8907674

Popular Providers