| Insight Human Services, Inc. | |
|
665 West Fourth Street Winston-salem NC 27101-2701 | |
| (336) 725-8389 | |
| (336) 725-6628 |
| Full Name | Insight Human Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 665 West Fourth Street, Winston-salem, North Carolina |
| Authorized Official Name and Position | James Roger Harner (CEO) |
| Authorized Official Contact | 3367258389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Human Services, Inc. 665 West Fourth Street Winston-salem NC 27101-2701 Ph: (336) 725-8389 | Insight Human Services, Inc. 665 West Fourth Street Winston-salem NC 27101-2701 Ph: (336) 725-8389 |
| NPI Number | 1609996818 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Medicare PECOS PAC ID | 5193199123 |
|---|---|
| Medicare Enrollment ID | O20230314003187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609996818 | NPI | - | NPPES |
| 8301336 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mark Chinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518012228 PECOS PAC ID: 1355449661 Enrollment ID: I20070611000522 |
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