Port Human Services

LBN: Port Human Services
Port Human Services is an health care organization with primary practice located at 2269 Stantonsburg Road , Greenville NC 27834-7826. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Port Human Services can be contacted via phone (252) 752-0130, or through Savidge, Thomas O via phone (252) 752-0483.

Contact Information

Primary practice address
2269 Stantonsburg Road Greenville NC 27834-7826
Fax: (252) 752-4949
Website:
Authorized official contact:
Name: Savidge, Thomas O

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MHL-074-150 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X MHL-074-150 North Carolina

Profile Details

NPI number 1780734988
LBN Legal business name Port Human Services
DBA Doing business as
Authorized official Savidge, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 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 1780734988 NPPES
North Carolina MEDICAID 6005362
North Carolina Other 016X5

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