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Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization
PRIMARY HEALTH CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY NICOLE LOCKLEAR (CFO)
(910) 865-3500
Entity
Organization
Contact information
Practice address
505 ATKINSON ST, LAURINBURG, NC 28352-3715
(910) 227-0001
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
(910) 865-3500
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410063
—
NC
05
—
5919023
—
NC
05
—
6008773
—
NC
05
—
8303395
—
NC
05
—
8303395R
—
NC
05
—
8303395S
—
NC
Enumeration date
07/12/2011
Last updated
04/09/2021
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