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Organization

BARIUM SPRINGS HOME FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN KOPPELMEYER (PRESIDENT/CEO)
(704) 873-1011
Entity
Organization

Contact information

Practice address
120 SOUTH PARK DR, CCI MOORESVILLE, MOORESVILLE, NC 28117-8957
(704) 664-4357
(704) 660-5714
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 873-1011
(704) 924-7683

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50747
DWI FACILITY ID
NC
05
6006340
NC
05
6006341
NC
Enumeration date
03/04/2008
Last updated
12/30/2009
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