Triumph Llc

LBN: Triumph Llc
Triumph Llc is an health care organization with primary practice located at 119 W Depot St , Mocksville NC 27028-2327. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Triumph Llc can be contacted via phone (336) 751-5636, or through Caldwell, Paul via phone (919) 467-2433.

Contact Information

Primary practice address
119 W Depot St Mocksville NC 27028-2327
Phone: (336) 751-5636
Fax: (336) 751-5696
Website:
Map and Directions
Authorized official contact:
Name: Caldwell, Paul
Phone: (919) 467-2433

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1063568095
LBN Legal business name Triumph Llc
DBA Doing business as
Authorized official Caldwell, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 22nd, 2010 - about 14 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 1063568095 NPPES
North Carolina MEDICAID 8300784V
North Carolina MEDICAID 8300784H
North Carolina MEDICAID 8300784G
North Carolina MEDICAID 8300784
North Carolina MEDICAID 8300784B

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