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STATE OF NC DIVISION OF HEALTH SERVICES NPI 1841414257


NPI Information

NPI: 1841414257
Provider Name: STATE OF NC DIVISION OF HEALTH SERVICES
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1211A IRELAND DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (919) 486-1605
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STATE OF NC DIVISION OF HEALTH SERVICES is a developmental disabilities clinic center in Fayetteville, NC. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). STATE OF NC DIVISION OF HEALTH SERVICES NPI is 1841414257. The provider is registered as an organization entity type.

The provider's business location address is:

1211A IRELAND DR
FAYETTEVILLE, NC
ZIP 28304-372
Phone: (919) 486-1605
Fax: (919) 486-1590

The provider's authorized official is Deborah E. Carrolld .
The authorized official title is Early Intervention Branch Head and has the following contact phone number (919) 707-5520.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 4/27/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
113409OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
23403412MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.