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SUMMIT SUPPORT SERVICES OF ASHE INC NPI 1922283340


NPI Information

NPI: 1922283340
Provider Name: SUMMIT SUPPORT SERVICES OF ASHE, INC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
342 LONG ST
JEFFERSON, NC
ZIP 28640
Phone: (336) 846-4491
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SUMMIT SUPPORT SERVICES OF ASHE, INC is a developmental disabilities clinic center in Jefferson, 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.). SUMMIT SUPPORT SERVICES OF ASHE, INC NPI is 1922283340. The provider is registered as an organization entity type.

The provider's business location address is:

342 LONG ST
JEFFERSON, NC
ZIP 28640-789
Phone: (336) 846-4491
Fax: (336) 846-4927

The provider's authorized official is Shari Anderson Rognstad .
The authorized official title is Executive Director and has the following contact phone number (336) 846-4491.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 11/20/2017.


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
1251B00000XCase ManagementNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes
3311ZA0620XCustodial Care FacilityAdult Care HomeNo

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
17804402MEDICAIDNORTH 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: 11/14/2023

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