Barium Springs Home For Children | |
120 South Park Dr Cci Mooresville Mooresville NC 28117-8957 | |
(704) 664-4357 | |
(704) 660-5714 |
Full Name | Barium Springs Home For Children |
---|---|
Speciality | Clinic/center |
Location | 120 South Park Dr, Mooresville, North Carolina |
Authorized Official Name and Position | John Koppelmeyer (PRESIDENT/CEO) |
Authorized Official Contact | 7048731011 |
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 120 South Park Dr Cci Mooresville Mooresville NC 28117-8957 Ph: (704) 664-4357 |
NPI Number | 1427228626 |
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Provider Enumeration Date | 03/04/2008 |
Last Update Date | 12/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427228626 | NPI | - | NPPES |
50747 | Other | NC | DWI FACILITY ID |
6006340 | Medicaid | NC | |
6006341 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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