South Robeson Medical Center
LBN: Robeson Health Care Corporation
South Robeson Medical Center is an health care organization with primary practice located at 1212 S Walnut St , Fairmont NC 28340. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Robeson Health Care Corporation can be contacted via phone (910) 628-6711, or through Hall, George Timothy via phone (910) 521-2900.
Contact Information
Primary practice address
1212 S Walnut St
Fairmont NC 28340
Phone: (910) 628-6711
Fax: (910) 628-5735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MHL-078-063 | North Carolina |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1417914722 |
|---|---|
| LBN Legal business name | Robeson Health Care Corporation |
| DBA Doing business as | South Robeson Medical Center |
| Authorized official | Hall, George Timothy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Aug 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417914722 | NPPES |
| North Carolina | MEDICAID | 344570 A/C | |
| North Carolina | MEDICAID | 6005792 |
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