October Road Inc.

LBN: October Road Inc.
October Road Inc. is an health care organization with primary practice located at 119 Tunnel Rd Ste B , Asheville NC 28805-1800. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. October Road Inc. can be contacted via phone (828) 350-1000, or through Hendricks, Jason via phone (814) 940-0407.

Contact Information

Primary practice address
119 Tunnel Rd Ste B Asheville NC 28805-1800
Phone: (828) 350-1000
Fax: (828) 350-1300
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Jason
Phone: (814) 940-0407

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MLH-011-272 North Carolina
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1144375767
LBN Legal business name October Road Inc.
DBA Doing business as
Authorized official Hendricks, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 10th, 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 1144375767 NPPES
Other MHL-011-272 NC DHSR
MEDICAID 5905845 NC DHSR
MEDICAID 6006159 NC DHSR
MEDICAID 8703016 NC DHSR
MEDICAID 3410004 NC DHSR
MEDICAID 8305312 NC DHSR

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