Phoenix Bridge Community Services
LBN: Phoenix Bridge Community Services
Phoenix Bridge Community Services is an health care organization with primary practice located at 5450 Patillo Church Rd , Burlington NC 27217-8553. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Phoenix Bridge Community Services can be contacted via phone (336) 222-8522, or through Jones, Wendy Renee via phone (336) 222-8522.
Contact Information
Primary practice address
5450 Patillo Church Rd
Burlington NC 27217-8553
Phone: (336) 222-8522
Fax: (336) 222-8533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-001-120 | North Carolina |
Profile Details
| NPI number | 1033398425 |
|---|---|
| LBN Legal business name | Phoenix Bridge Community Services |
| DBA Doing business as | |
| Authorized official | Jones, Wendy Renee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Nov 1st, 2007 - about 17 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 | 1033398425 | NPPES |
| North Carolina | MEDICAID | 6603577 |
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