| Port Human Services | |
|
860 Tiffany Blvd Rocky Mount NC 27804-1809 | |
| (252) 442-8100 | |
| (252) 442-9798 |
| Full Name | Port Human Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 860 Tiffany Blvd, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Thomas O Savidge (CEO) |
| Authorized Official Contact | 2527520483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Human Services 2245 Stantonsburg Rd Suite P Greenville NC 27834-2868 Ph: (252) 752-0483 | Port Human Services 860 Tiffany Blvd Rocky Mount NC 27804-1809 Ph: (252) 442-8100 |
| NPI Number | 1457401549 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457401549 | NPI | - | NPPES |
| 016X5 | Other | NC | BCBS |
| 8301622 | Medicaid | NC | |
| 5905303 | Medicaid | NC | |
| 6005934 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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