PRIMARY CARE SOLUTIONS INC. NPI 1518009992

NPI Information

NPI: 1518009992
Provider Name: PRIMARY CARE SOLUTIONS INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 34D2049565

Address:
1019 NORLAND RD
CHARLOTTE, NC
ZIP 28205
Phone: (704) 537-1022
Get Directions

PRIMARY CARE SOLUTIONS INC. is a community based residential treatment facility mental illness in Charlotte, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PRIMARY CARE SOLUTIONS INC. NPI is 1518009992. The provider is registered as an organization entity type.

The provider's business location address is:

1019 NORLAND RD
CHARLOTTE, NC
ZIP 28205
Phone: (704) 537-1022
Fax: (704) 569-0822

The provider's authorized official is William A. Bullock .
The authorized official title is President and has the following contact phone number (704) 537-1022.

The CLIA number assigned to this NPI record is 34D2049565 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 6/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-060-586	NORTH CAROLINA	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6603195	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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