Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRIDE IN NORTH CAROLINA, LLC
Active
Organization
PRIDE IN NORTH CAROLINA, LLC
Active
Other names
Pride in North Carolina, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON RUTSKI (DIRECTOR OF BUSINESS OPERATIONS)
(910) 452-1460
Entity
Organization
Contact information
Practice address
1400 WEST CHURCH STREET EXT, ELIZABETH CITY, NC 27909-4510
(252) 321-0322
(252) 331-0320
Mailing address
231 COMMERCE ST, GREENVILLE, NC 27858-5029
(252) 321-8080
(252) 321-7999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300247
—
NC
05
—
8300247B
—
NC
05
—
8300247G
—
NC
Enumeration date
02/02/2007
Last updated
10/04/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up