Longleaf Neuro Medical Treatment Center

LBN: Longleaf Neuro Medical Treatment Center
Longleaf Neuro Medical Treatment Center is an health care organization with primary practice located at 4761 Ward Blvd , Wilson NC 27893-4359. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Longleaf Neuro Medical Treatment Center can be contacted via phone (252) 399-2109, or through Burkes, Karen via phone (919) 855-4700.

Contact Information

Primary practice address
4761 Ward Blvd Wilson NC 27893-4359
Phone: (252) 399-2109
Fax: (252) 399-2136
Website:
Map and Directions
Authorized official contact:
Name: Burkes, Karen
Phone: (919) 855-4700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 02460 North Carolina

Profile Details

NPI number 1710038732
LBN Legal business name Longleaf Neuro Medical Treatment Center
DBA Doing business as Longleaf Neuro Medical Treatment Center
Authorized official Burkes, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 7th, 2024 - about 8 months 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 1710038732 NPPES
North Carolina MEDICAID 3406177
North Carolina MEDICAID 3405192
North Carolina Other 2066141

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