Pride In North Carolina, Inc
LBN: Pride In North Carolina, Llc
Pride In North Carolina, Inc is an health care organization with primary practice located at 2815 S Church St Ste 100 , Burlington NC 27215-5105. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Pride In North Carolina, Llc can be contacted via phone (336) 586-0647, or through Rutski, Jason via phone (910) 452-1460.
Contact Information
Primary practice address
2815 S Church St Ste 100
Burlington NC 27215-5105
Phone: (336) 586-0647
Fax: (336) 586-0729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1770621526 |
|---|---|
| LBN Legal business name | Pride In North Carolina, Llc |
| DBA Doing business as | Pride In North Carolina, Inc |
| Authorized official | Rutski, Jason |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770621526 | NPPES |
| North Carolina | MEDICAID | 8300581 | |
| North Carolina | MEDICAID | 8300581B | |
| North Carolina | MEDICAID | 8300581G |
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