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HIGHSMITH SUPPORT AGENCY INC. NPI 1780828087


NPI Information

NPI: 1780828087
Provider Name: HIGHSMITH SUPPORT AGENCY, INC.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
112 W COURTHOUSE AVE
BURGAW, NC
ZIP 28425
Phone: (910) 259-4065
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HIGHSMITH SUPPORT AGENCY, INC. is a preferred provider organization in Burgaw, NC. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. HIGHSMITH SUPPORT AGENCY, INC. NPI is 1780828087. The provider is registered as an organization entity type.

The provider's business location address is:

112 W COURTHOUSE AVE
BURGAW, NC
ZIP 28425
Phone: (910) 259-4065
Fax: (910) 259-4063

The provider's authorized official is Joyce Ann Carr .
The authorized official title is Owner/office Mgr. and has the following contact phone number (910) 214-5379.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 4/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization8301972NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18301972MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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