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Contact Information

BEACON BRIDGE LLC
415 DUNSTAN AVE STE B
SUITE B
DURHAM, NC27707
 Phone: 833-496-0445
 Fax: 984-208-5220
 Website: https://www.beaconbridgehs.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BEACON BRIDGE LLC

NPI Number 1194583864
LBN Legal business name BEACON BRIDGE LLC
Authorized official ALEXANDER YOUSIF - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2024
Last updated 12/08/2024 - More than a year ago
Identifiers
NC Other MHL-032-642 NC DHHS DIVISION OF HEALTH SERVICE REGULATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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