Waynesboro Family Clinic
LBN: Waynesboro Family Clinic
Waynesboro Family Clinic is an health care organization with primary practice located at 1706 Wayne Memorial Dr , Goldsboro NC 27534-2240. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Laboratories / Clinical Medical Laboratory. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Waynesboro Family Clinic can be contacted via phone (919) 734-6676, or through Vannoske, Nita via phone (919) 734-6676.
Contact Information
Primary practice address
1706 Wayne Memorial Dr
Goldsboro NC 27534-2240
Phone: (919) 734-6676
Fax: (919) 734-9050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | 34D2077478 | North Carolina |
Profile Details
| NPI number | 1760417570 |
|---|---|
| LBN Legal business name | Waynesboro Family Clinic |
| DBA Doing business as | |
| Authorized official | Vannoske, Nita |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 31st, 2016 - about 9 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 | 1760417570 | NPPES |
| North Carolina | MEDICAID | 89015MK | |
| North Carolina | MEDICAID | 8300477 | |
| North Carolina | MEDICAID | 8300477B | |
| North Carolina | MEDICAID | 6005103 | |
| North Carolina | MEDICAID | 3410001 | |
| North Carolina | MEDICAID | 8300477G |
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