Organization
ST. JOSEPH OF THE PINES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA LATOVICK (VP REIMBURSEMENT)
(734) 343-6628
Entity
Organization
Contact information
Practice address
103 GOSSMAN RD, SOUTHERN PINES, NC 28387-2225
(910) 246-1000
(910) 246-1333
Mailing address
100 GOSSMAN RD, SUITE B, SOUTHERN PINES, NC 28387-2224
(910) 246-3000
(910) 246-3187
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0589
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00919
BLUECROSS BLUESHIELD
NC
05
—
3405044
—
NC
Enumeration date
10/11/2006
Last updated
02/27/2025
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