Pride In North Carolina, Llc

LBN: Pride In North Carolina, Llc
Pride In North Carolina, Llc is an health care organization with primary practice located at 1400 West Church Street Ext. , Elizabeth City NC 27909-4510. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Pride In North Carolina, Llc can be contacted via phone (252) 331-0322, or through Rutski, Jason via phone (910) 452-1460.

Contact Information

Primary practice address
1400 West Church Street Ext. Elizabeth City NC 27909-4510
Phone: (252) 331-0322
Fax: (252) 331-0320
Website:
Map and Directions
Authorized official contact:
Name: Rutski, Jason
Phone: (910) 452-1460

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Community/Behavioral Health 251S00000X North Carolina
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X MHL-067-186 North Carolina
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X North Carolina

Profile Details

NPI number 1760420186
LBN Legal business name Pride In North Carolina, Llc
DBA Doing business as
Authorized official Rutski, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 4th, 2017 - about 7 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 1760420186 NPPES
North Carolina MEDICAID 6005354
North Carolina MEDICAID 8300244B
North Carolina MEDICAID 8300247H
North Carolina MEDICAID 8300338
North Carolina MEDICAID 6005355
North Carolina MEDICAID 6006644
North Carolina MEDICAID 8300581G
North Carolina MEDICAID 5900421
North Carolina MEDICAID 6005302
North Carolina MEDICAID 6006660
North Carolina MEDICAID 8300244H
North Carolina MEDICAID 8300246B
North Carolina MEDICAID 8300338B
North Carolina MEDICAID 8300246
North Carolina MEDICAID 8300246G
North Carolina MEDICAID 8300581
North Carolina MEDICAID 8300581H
North Carolina MEDICAID 8303103
North Carolina MEDICAID 8703008
North Carolina Other 333347
North Carolina MEDICAID 8300245H
North Carolina Other 225175471
North Carolina MEDICAID 6005356
North Carolina MEDICAID 8300244G
North Carolina MEDICAID 8300246H
North Carolina MEDICAID 8300247B
North Carolina MEDICAID 8300247G
North Carolina MEDICAID 8300338H
North Carolina MEDICAID 8300245
North Carolina MEDICAID 8300245B
North Carolina MEDICAID 8300245G
North Carolina MEDICAID 8300581B
North Carolina Other 017E1
North Carolina MEDICAID 3410008
North Carolina MEDICAID 341008
North Carolina MEDICAID 8300244
North Carolina MEDICAID 8300247

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