| Barium Springs Home For Children | |
|
733 E Main St Yadkin Success Academy Yadkinville NC 27055-8137 | |
| (704) 873-1011 | |
| (704) 832-2253 |
| Full Name | Barium Springs Home For Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 733 E Main St, Yadkinville, 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 733 E Main St Yadkin Success Academy Yadkinville NC 27055-8137 Ph: (704) 873-1011 |
| NPI Number | 1184740987 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184740987 | NPI | - | NPPES |
| 8301442 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL099017 (North Carolina) | Primary |
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