SAM/OUTREACH PROGRAM (NPI# 1003145665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003145665 |
| Entity Type | Organization |
| Organization Name | SAM/OUTREACH PROGRAM |
| Practice Address |
114 E Main St Ste. B Lincolnton NC 28092-2725 |
| Mailing Address |
Po Box 1710 Lincolnton NC 28093-1710 |
| Practice Telephone | 7047406512 |
| Practice Fax Number | 7047354995 |
| Mailing Telephone | 7047406512 |
| Mailing Fax Number | 7047354995 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |
| Authorized Official Name | MRS. ROSALIND TERRELLE BYNUM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7047406512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MHL-055-114 | NC | Other Service Providers |
| Street Address |
114 E MAIN ST STE. B |
| City | LINCOLNTON |
| State | NC |
| Zip Code | 28092-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194373332 | Steven Garrett Werkman | Dentist | 1432 E. Main St, Lincolnton, NC 28092 | 2019-08-30 |
| 1194288746 | Karl Stanley Espanola Baquiran | Physical Therapist | 815 N. Generals Blvd, Suite D, Lincolnton, NC 28092 | 2019-04-10 |
| 1699268565 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092 | 2018-06-14 |
| 1568959385 | Shalini Tailor | Dentist | 1432 E Main Street, Lincolnton, NC 28092 | 2018-04-17 |
| 1053760942 | Comprehab Inc | Clinic/Center | 18 North Generals Blvd., Lincolnton, NC 28092 | 2016-06-10 |
| 1013389816 | Joshua Tallent | Counselor | 701 S Laurel St Ste 3, Lincolnton, NC 28092 | 2015-10-20 |
| 1619352838 | Tamara Michelle Bivins Vead | Physical Therapist | 1244 North Flint St., Suite 5, Lincolnton, NC 28092 | 2015-07-29 |
| 1861802555 | Jessica Bookbinder Rhodes | Obstetrics & Gynecology | 447 Mcalister Rd Ste 3500, Lincolnton, NC 28092 | 2014-05-02 |
| 1467791186 | Kelly Louise Charles | Social Worker | 2589 E Main St Ste 102, Lincolnton, NC 28092 | 2013-02-01 |
| 1720330491 | Lincoln County | Non-emergency Medical Transport (VAN) | 1323 Gaston St, Lincolnton, NC 28092 | 2012-10-05 |
| Find all providers in zip 28092 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699754119 | David A Nachamie | Specialist | 117 Doctors Park, Lincolnton, NC 28092-4407 | 2006-01-12 |
| 1912908765 | Edward B Miedema | Specialist | 206 Gamble Dr, Suite C, Lincolnton, NC 28092-4439 | 2005-08-02 |
| 1548465016 | Robert J Williams, Md, PC | Specialist | 111 S Washington St, Lincolnton, GA 30817-2870 | 2007-06-15 |
| 1477510659 | Lincoln Pediatrics Clinic,pa | Specialist | 113 Doctors Park, Lincolnton, NC 28092-4407 | 2006-04-30 |
| 1891755484 | Ali Saboortinat Mofrad | Specialist | 113 Doctors Park, Lincolnton, NC 28092-4407 | 2006-03-27 |
| 1831182088 | Lincoln Urology Pa | Specialist | 206 Gamble Dr, Suite C, Lincolnton, NC 28092-4439 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1184248197 | Tunishia Chanel Parks | Specialist | 106 Daniels Ave, Battleboro, NC 27809-7503 | 2020-06-05 |
| 1306460811 | Ashley Davis | Specialist | 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 | 2020-06-01 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1356962872 | Katherine Joy Griffin | Specialist | 1112 Bottle Brush Ln, Harrisburg, NC 28075-6716 | 2020-05-06 |
| 1174158315 | Shanese Spaulding | Specialist | 309 N Elm St, Lumberton, NC 28358-5649 | 2020-03-09 |
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1215580949 | Felisha Cheadle | Specialist | 240 Appalachian Dr, Raeford, NC 28376-6342 | 2019-07-22 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNTON |
| Zip Code | 28092 |
Please comment or provide details below to improve the information on SAM/OUTREACH PROGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.