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ASSOCIATE BEHAVIORAL SERVICE NPI 1649455767


NPI Information

NPI: 1649455767
Provider Name: ASSOCIATE BEHAVIORAL SERVICE
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
206 E 7TH ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 735-0556
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ASSOCIATE BEHAVIORAL SERVICE is a preferred provider organization in Lumberton, NC. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ASSOCIATE BEHAVIORAL SERVICE NPI is 1649455767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

206 E 7TH ST
LUMBERTON, NC
ZIP 28358-882
Phone: (910) 735-0556
Fax: (910) 739-7877

The provider's authorized official is Alonzo Mason .
The authorized official title is Finance Supervisor and has the following contact phone number (910) 735-0556.

The enumeration date for this NPI number is 1/8/2008 and was last updated on 1/8/2008.


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
1101YM0800XCounselorMental HealthNo
2305R00000XPreferred Provider OrganizationNORTH CAROLINAYes

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
18300308GMEDICAIDNORTH 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: 5/5/2024

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