Port Health Services in Greenville - Substance Abuse Treatment, Children
Port Health Services - NPI 1477538254
Port Health Services is a Substance Abuse Treatment, Children in Greenville, North Carolina. Port Health Services practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Port Health Services is 1477538254. The last update date is 2023-05-24.
Port Health Services's current location address is 4300 Sapphire Ct Ste 110, Greenville, North Carolina. You can contact this provider via phone number 2528307540 and fax number 2524130932. The mailing address for Port Health Services is 4300 Sapphire Ct Ste 110, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port Health Services |
|---|---|
| Address | 4300 Sapphire Ct Ste 110, Greenville, North Carolina |
| Phone Number | 2528307540 |
| Fax Number | 2524130932 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Beavers Brett |
| Telephone Number | 9192107661 |
NPI Number Detail
| NPI Number | 1477538254 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2023-05-24 |
Provider Mailing Address Detail
| Address | 4300 Sapphire Ct Ste 110 |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 278349079 |
| Phone Number | 2528307540 |
| Fax Number | 2524130932 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | MHL-074-145 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6005329 | NC | -- | |
| 6005332 | NC | -- | |
| 6005334 | NC | -- | |
| 6005597 | NC | -- | |
| 6603789 | NC | -- | |
| 016X5 | NC | BCBS PROVIDER NUMBER | |
| 6005592 | NC | -- | |
| 5900726 | NC | -- | |
| 5900727 | NC | -- | |
| 6603790 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Port Health Services by the Centers for Medicare & Medicaid Services?
The Port Health Services has been issued the NPI (National Provider Identifier) 1477538254, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Port Health Services is physically located?
The Port Health Services is situated at the following address: 4300 Sapphire Ct Ste 110, Greenville, NC 278349079.
What is Port Health Services's area of expertise and its corresponding taxonomy classification?
The Port Health Services's field of specialization is Substance Abuse Treatment, Children, and it falls under the taxonomy code 3245S0500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Port Health Services receive its 1477538254 assignment from the Centers for Medicare & Medicaid Services?
The Port Health Services was assigned its 1477538254 by the Centers for Medicare & Medicaid Services on 2005-12-14.
When was the Port Health Services's information last updated?
The Port Health Services's information was last updated on 2023-05-24.
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