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Organization
PORT HEALTH SERVICES
Active
Organization
PORT HEALTH SERVICES
Active
Other names
PORT Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WARD ROUNTREE (REIMBURSEMENT MANGER)
(252) 830-7540
Entity
Organization
Contact information
Practice address
417 E GRANTHAM RD, NEW BERN, NC 28560-6881
(252) 633-6431
(252) 251-6200
Mailing address
4300-110 SAPPHIRE COURT, GREENVILLE, NC 27834
(252) 752-0483
(252) 752-2971
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-025-041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300529
—
NC
Enumeration date
01/10/2007
Last updated
04/03/2017
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