A Primary Health Inc
Organization Active NPI Home Health Agency · St. Pauls, NC
NPI 1912040593 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1912040593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HC3430 (NC)
- Legal business name
- A PRIMARY HEALTH INC
- Practice address
- 121 B S. 5TH Street
St. Pauls, NC 28384-1573 - Phone
- (190) 865-8280
- Fax
- (190) 865-8281
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Thad J Davis
- Title
- Owner
- Phone
- (910) 739-1445
Corporate family (same tax ID) 42
National Provider Directory
- Tax ID family
- A Primary Choice Inc
Locations
500 Peterson Dr
Lumberton, NC 28358
121 S 5th St
Ste B
Saint Pauls, NC 28384
Phone (910) 865-8280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3430 | NC | Yes |
Addresses
Primary practice location
121 B S. 5TH Street
St. Pauls, NC 28384-1573
Mailing address
500 Peterson Dr
Lumberton, NC 28358-2600
Phone (190) 739-1445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408328 | Medicaid | NC |
Other providers in St. Pauls, NC
- A Primary Choice, Inc.
- Justin Adams
- Evagelos Anagnostopoulos
- Andrea Marie Care Home LLC
- Marquilla Avila-Galeana
- Aw Cash, Inc
All providers in St. Pauls, NC · Home Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.