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Contact Information

PROVIDENCE HEALTHCARE OF THE CAROLINAS
4302 HWY NC 210
SMITHFIELD, NC27577
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTHCARE OF THE CAROLINAS

NPI Number 1497260608
LBN Legal business name PROVIDENCE HEALTHCARE OF THE CAROLINAS
Authorized official TERMAINE MOORE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2017
Last updated 12/11/2017 - About 8 years ago
Identifiers n/a
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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