North Raleigh Family Clinic

LBN: North Raleigh Family Clinic
North Raleigh Family Clinic is an health care organization with primary practice located at 5850 Faringdon Pl , Raleigh NC 27609-3930. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. North Raleigh Family Clinic can be contacted via phone (919) 872-9974, or through Jordan, Chad via phone (919) 872-9974.

Contact Information

Primary practice address
5850 Faringdon Pl Raleigh NC 27609-3930
Fax:
Website:
Authorized official contact:
Name: Jordan, Chad LMFT

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C000909 North Carolina

Profile Details

NPI number 1346276565
LBN Legal business name North Raleigh Family Clinic
DBA Doing business as
Authorized official Jordan, Chad LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1346276565 NPPES
North Carolina MEDICAID 6005799
North Carolina MEDICAID 5903347

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