Polk County Community Health & Wellness Center, Inc

LBN: Polk County Community Health & Wellness Center, Inc
Polk County Community Health & Wellness Center, Inc is an health care organization with primary practice located at 801 W Mills St Ste A&B , Columbus NC 28722-8494. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Polk County Community Health & Wellness Center, Inc can be contacted via phone (828) 894-2222, or through Stark, Mary Jo via phone (828) 894-2222.

Contact Information

Primary practice address
801 W Mills St Ste A&B Columbus NC 28722-8494
Fax:
Website:
Authorized official contact:
Name: Stark, Mary Jo

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1386883296
LBN Legal business name Polk County Community Health & Wellness Center, Inc
DBA Doing business as
Authorized official Stark, Mary Jo
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2009
Last updated Mar 4th, 2009 - about 15 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 1386883296 NPPES
North Carolina MEDICAID 6102994
North Carolina MEDICAID 7912153
North Carolina MEDICAID 6005017
North Carolina Other 1740484575
North Carolina MEDICAID 6106296
North Carolina MEDICAID 6000122

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