| Northeast Psychiatric Services | |
|
380 Copperfield Blvd Ne Northeast Psychiatric Services Concord NC 28025-2402 | |
| (704) 403-1800 | |
| (704) 403-1836 |
| Full Name | Northeast Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 380 Copperfield Blvd Ne, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Psychiatric Services 380 Copperfield Blvd Ne Northeast Psychiatric Services Concord NC 28025-2402 Ph: (704) 403-1800 | Northeast Psychiatric Services 380 Copperfield Blvd Ne Northeast Psychiatric Services Concord NC 28025-2402 Ph: (704) 403-1800 |
| NPI Number | 1750343521 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750343521 | NPI | - | NPPES |
| 019G5 | Other | NC | BCBSNC |
| 355573 | Other | NC | MAMSI |
| 566000156021 | Other | NC | TRICARE STANDARD, NON NWK |
| B948 | Other | NC | PARTNERS MEDICARE CHOICE |
| 019G5 | Other | NC | BCBS EFF 7-1-07 |
| 5907156 | Medicaid | NC | |
| 6005328 | Medicaid | NC | |
| 890240Y | Medicaid | NC | |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
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