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Contact Information

COMMUNITY INNOVATIONS, INC.
1781 SOUTH MAIN STREET
LAURINBURG, NC28352
 Phone: 910-277-3212
 Fax: 910-277-3214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for COMMUNITY INNOVATIONS, INC.

NPI # 1679643373
LBN Legal business name COMMUNITY INNOVATIONS, INC.
Authorized official ANDY ANDERSON - (CEO PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 10/21/2011 - About 15 years ago
Identifiers
NC Medicaid 8300959
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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