Organization
COUNTY OF ROBESON OFFICE OF TREASURER
Active
Parent organization
COUNTY OF ROBESON
Other names
Robeson Child Health Plus
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF ROBESON
Authorized official
SUZANNE B JACKSON (DIRECTOR)
(910) 671-3404
Entity
Organization
Contact information
Practice address
460 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 608-2100
(910) 608-2102
Mailing address
460 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 608-2100
(910) 608-2102
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
34D0934973
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0273H
BLUE CROSS BLUE SHIELD
NC
Enumeration date
04/17/2007
Last updated
07/25/2024
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