Outreach Healthcare Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OUTREACH HEALTHCARE SERVICES

Practice address

5409 Shoreview Dr
Concord, NC 28025-9417

Phone

(704) 788-7082

Fax

(866) 336-8802

NPI assigned

Jun 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jean Griswold Lynn

Title

Managing Partner

Phone

(704) 788-7082

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295770576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281070318",
            "telephone_number": "704-788-7082",
            "fax_number": "866-336-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 SHOREVIEW DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259417",
            "telephone_number": "704-788-7082",
            "fax_number": "866-336-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "GRISWOLD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "704-788-7082"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle William Osborne, PHARMD
• William Osborne, RRT-ACCS, RRT-NPS
• Gerald Vincent Otteni, M.D.
• Elizabeth Marie Alston Ottey
• Outlook Forensic & Behavioral Health
• Crystal Overcash, RN
• Stephan D Overcash, C.P.
• Matthew Hill Overton, M.D.
• Angela Michelle Owen-Killar, MA
• Jill Owen

• Clinic/Center in Concord, NC
• Providers in Concord, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.