Premier Service Of Carolina, Inc

LBN: Premier Service Of Carolina, Inc
Premier Service Of Carolina, Inc is an health care organization with primary practice located at 207 N Boone St Ste 300 , Johnson City TN 37604-5675. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Premier Service Of Carolina, Inc can be contacted via phone (704) 985-1189, or through Lawing, Clarence via phone (704) 985-1189.

Contact Information

Primary practice address
207 N Boone St Ste 300 Johnson City TN 37604-5675
Phone: (704) 985-1189
Fax: (704) 985-1189
Website:
Map and Directions
Authorized official contact:
Name: Lawing, Clarence
Phone: (704) 985-1189

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X I000000019328 Tennessee
Agencies / Community/Behavioral Health 251S00000X I000000021371 Tennessee

Profile Details

NPI number 1811433444
LBN Legal business name Premier Service Of Carolina, Inc
DBA Doing business as
Authorized official Lawing, Clarence
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2017
Last updated Mar 14th, 2018 - about 6 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 1811433444 NPPES
Tennessee MEDICAID Q021696

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