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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
THAD DAVIS (CEO)
(910) 865-3500
Entity
Organization
Contact information
Practice address
1514 S HORNER BLVD, SANFORD, NC 27330-5632
(910) 774-7044
Mailing address
PO BOX 159, SAINT PAULS, NC 28384-0159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921165
—
NC
05
—
6008618
—
NC
05
—
8303394
—
NC
05
—
8303394R
—
NC
05
—
8702446
—
NC
Enumeration date
09/13/2011
Last updated
11/21/2014
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