Johnston Health Behavioral Health Services | |
509 N Brightleaf Blvd Smithfield NC 27577 | |
(919) 938-7540 | |
(919) 934-4835 |
Full Name | Johnston Health Behavioral Health Services |
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Speciality | Psychiatric Unit |
Location | 509 N Brightleaf Blvd, Smithfield, North Carolina |
Authorized Official Name and Position | Kevin Michael Cielinski (CFO) |
Authorized Official Contact | 9199387128 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Johnston Health Behavioral Health Services 509 N Brightleaf Blvd Attn: Eddie Klein, Cfo Smithfield NC 27577-4407 Ph: (919) 938-7128 | Johnston Health Behavioral Health Services 509 N Brightleaf Blvd Smithfield NC 27577 Ph: (919) 938-7540 |
NPI Number | 1780628354 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 03/04/2024 |
Certification Date | 03/04/2024 |
Medicare PECOS PAC ID | 2163655283 |
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Medicare Enrollment ID | O20140429000582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780628354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | H0151 (North Carolina) | Primary |
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