Barium Springs Home For Children | |
1249 North South Street No 100 Mount Airy NC 27030-3850 | |
(336) 719-0030 | |
(704) 832-2253 |
Full Name | Barium Springs Home For Children |
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Speciality | Community/behavioral Health |
Location | 1249 North South Street, Mount Airy, 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 |
---|---|
Barium Springs Home For Children Po Box 1 Barium Springs NC 28010-0001 Ph: (704) 873-1011 | Barium Springs Home For Children 1249 North South Street No 100 Mount Airy NC 27030-3850 Ph: (336) 719-0030 |
NPI Number | 1508982323 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 03/10/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508982323 | NPI | - | NPPES |
8301444 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL086041 (North Carolina) | Primary |
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