SANFORD TREATMENT CENTER, LLC (NPI# 1952896813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952896813 |
Entity Type | Organization |
Organization Name | SANFORD TREATMENT CENTER, LLC |
Practice Address |
2800 Industrial Dr Sanford NC 27332 |
Mailing Address |
1112 Silver Oaks Ct Raleigh NC 27614-9359 |
Practice Telephone | 9197760711 |
Practice Fax Number | 9197760702 |
Mailing Telephone | 9196561633 |
Mailing Fax Number | 9197065158 |
Enumeration Date | 2018-06-24 |
Last Update Date | 2018-08-23 |
Authorized Official Name | MACY MELISSA HAMM (CEO) |
Authorized Official Telephone | 9196561633 |
Authorized Official Credential | JD, LCAS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
MHL-053-044 | NC | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MHL-053-044 | NC | Ambulatory Health Care Facilities |
Street Address |
2800 INDUSTRIAL DR |
City | SANFORD |
State | NC |
Zip Code | 27332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376065201 | Angie Smith | Counselor | 2800 Industrial Dr, Sanford, NC 27332-6028 | 2017-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
Find all providers in zip 27332 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1538648944 | Morehead City Treatment Center, LLC | Clinic/Center | 403 N 35th St, Morehead City, NC 28557-3107 | 2018-08-08 |
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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.