Kinston Community Behavioral Health Center | |
107 S Queen St Kinston NC 28501-4933 | |
(252) 522-9800 | |
(252) 523-9790 |
Full Name | Kinston Community Behavioral Health Center |
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Speciality | Clinic/Center |
Location | 107 S Queen St, Kinston, North Carolina |
Authorized Official Name and Position | Suzanne Freeman (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2525229800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kinston Community Behavioral Health Center 324 N Queen St Kinston NC 28501-4932 Ph: (252) 522-9800 | Kinston Community Behavioral Health Center 107 S Queen St Kinston NC 28501-4933 Ph: (252) 522-9800 |
NPI Number | 1639634819 |
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Provider Enumeration Date | 02/01/2019 |
Last Update Date | 07/08/2024 |
Certification Date | 07/08/2024 |
Medicare PECOS PAC ID | 1254318397 |
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Medicare Enrollment ID | O20190419000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639634819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Hills Dda Group Home Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2017 East Ridge Cir, Kinston, NC 28501 Phone: 252-522-4869 | |
Rha Health Services Nc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1612 Hardee Rd, Kinston, NC 28504 Phone: 800-848-0180 | |
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