Impact Carolina Services Inc.
LBN: Impact Carolina Services Inc.
Impact Carolina Services Inc. is an health care organization with primary practice located at 106 Doctors Park , Lincolnton NC 28092-4406. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Impact Carolina Services Inc. can be contacted via phone (704) 533-0277, or through Adedokun, Joseph Olatunde via phone (704) 533-0277.
Contact Information
Primary practice address
106 Doctors Park
Lincolnton NC 28092-4406
Phone: (704) 533-0277
Fax: (704) 685-5937
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 795 | North Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 795 | North Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 795 | North Carolina |
Profile Details
NPI number | 1376789925 |
---|---|
LBN Legal business name | Impact Carolina Services Inc. |
DBA Doing business as | |
Authorized official | Adedokun, Joseph Olatunde PH.D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 5th, 2009 |
Last updated | Jan 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376789925 | NPPES |
North Carolina | MEDICAID | 6111767 |
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