Northwest Community Care Network

LBN: Northwest Community Care Network
Northwest Community Care Network is an health care organization with primary practice located at 1920 W 1St St , Winston Salem NC 27104-4220. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Northwest Community Care Network can be contacted via phone (336) 716-5654, or through Graham, Jim via phone (336) 716-5654.

Contact Information

Primary practice address
1920 W 1St St Winston Salem NC 27104-4220
Fax: (336) 716-2683
Website:
Authorized official contact:
Name: Graham, Jim

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001547 North Carolina

Profile Details

NPI number 1447392337
LBN Legal business name Northwest Community Care Network
DBA Doing business as
Authorized official Graham, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447392337 NPPES
North Carolina MEDICAID 6005897

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