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 1400 West Church Street Ext , Elizabeth City NC 27909-4510. 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 (252) 321-0322, 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) 321-0322
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
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1902944671
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902944671 NPPES
North Carolina MEDICAID 8300247
North Carolina MEDICAID 8300247B
North Carolina MEDICAID 8300247G

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