Power Up Youth Services in Rockingham - Preferred Provider Organization

Power Up Youth Services - NPI 1164547592

Power Up Youth Services is a Preferred Provider Organization in Rockingham, North Carolina. Power Up Youth Services practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Power Up Youth Services is 1164547592. The last update date is 2008-06-30.

Power Up Youth Services's current location address is 234 E Franklin St, Rockingham, North Carolina. You can contact this provider via phone number 9109976620. The mailing address for Power Up Youth Services is 234 E Franklin St, Rockingham, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Power Up Youth Services
Address 234 E Franklin St, Rockingham, North Carolina
Phone Number 9109976620
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL D
Authorized Official Name Mitchell Eric
Telephone Number 9109976620

NPI Number Detail

NPI Number 1164547592
Provider Enumeration Date 2007-03-21
Last Updated Date 2008-06-30

Provider Mailing Address Detail

Address 234 E Franklin St
City Rockingham
State North Carolina (NC)
Post Code 283793627
Phone Number 9109976620
Fax Number

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Definition:
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 rec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8301512 NC --

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FAQs about Power Up Youth Services

What is the unique 10-digit identifier code issued to Power Up Youth Services by the Centers for Medicare & Medicaid Services?

The Power Up Youth Services has been assigned the NPI (National Provider Identifier) 1164547592 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Power Up Youth Services is physically located?

The Power Up Youth Services is physically situated at the following address: 234 E Franklin St, Rockingham, NC, 283793627.

What is Power Up Youth Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Power Up Youth Services is Preferred Provider Organization, and the taxonomy classification code that categorizes this area of expertise is 305R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1164547592 to Power Up Youth Services?

The Centers for Medicare & Medicaid Services assigned the 1164547592 to Power Up Youth Services on 2007-03-21.

When was the information regarding Power Up Youth Services most recently updated?

The details pertaining to the Power Up Youth Services, including its address, specialty, and other relevant information, were last refreshed on 2008-06-30.

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