The Living Well Health Center - Tobaccoville

LBN: Premise Health
The Living Well Health Center - Tobaccoville is an health care organization with primary practice located at 7855 Doral Dr , Tobaccoville NC 27050-9002. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Premise Health can be contacted via phone (336) 741-1319, or through Jensen, Joyce via phone (904) 401-1175.

Contact Information

Primary practice address
7855 Doral Dr Tobaccoville NC 27050-9002
Phone: (336) 741-1319
Fax: (336) 714-1803
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Joyce
Phone: (904) 401-1175

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 12514 North Carolina
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1114378312
LBN Legal business name Premise Health
DBA Doing business as The Living Well Health Center - Tobaccoville
Authorized official Jensen, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2016
Last updated Jun 29th, 2016 - about 8 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 1114378312 NPPES
Other 2160658 PK

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