Potters House Outreach Corporation

LBN: Potters House Outreach Corporation
Potters House Outreach Corporation is an health care organization with primary practice located at 105 Harvest Lane , Raeford NC 28376. 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. Potters House Outreach Corporation can be contacted via phone (910) 904-1844, or through Robinson, Vincent Terrel via phone (910) 867-7791.

Contact Information

Primary practice address
105 Harvest Lane Raeford NC 28376
Fax: (910) 867-7731
Website:
Authorized official contact:
Name: Robinson, Vincent Terrel

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL047074 North Carolina

Profile Details

NPI number 1568552982
LBN Legal business name Potters House Outreach Corporation
DBA Doing business as
Authorized official Robinson, Vincent Terrel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568552982 NPPES
North Carolina MEDICAID 6603637

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