Barium Springs Home For Children | |
1711 Landis Hwy Mooresville Intermediate Day Tx Mooresville NC 28115-6907 | |
(704) 873-1011 | |
(704) 832-2253 |
Full Name | Barium Springs Home For Children |
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Speciality | Community/behavioral Health |
Location | 1711 Landis Hwy, Mooresville, North Carolina |
Authorized Official Name and Position | John Koppelmeyer (PRESIDENT) |
Authorized Official Contact | 7048724157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Barium Springs Home For Children Po Box 1 Barium Springs NC 28010-0001 Ph: (704) 873-1011 | Barium Springs Home For Children 1711 Landis Hwy Mooresville Intermediate Day Tx Mooresville NC 28115-6907 Ph: (704) 873-1011 |
NPI Number | 1548386220 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548386220 | NPI | - | NPPES |
8301445 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL049104 (North Carolina) | Primary |
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