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
Phone: (252) 752-0130
Fax: (252) 752-4949
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1780734988 | NPPES |
| North Carolina | MEDICAID | 6005362 | |
| North Carolina | Other | 016X5 |
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