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NPI Code Detail

MEDICARE: BARIUM SPRINGS HOME FOR CHILDREN

MEDICARE: BARIUM SPRINGS HOME FOR CHILDREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyMHL086041NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508982323
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARIUM SPRINGS HOME FOR CHILDREN
Provider Business Mailing Address
First Line : PO BOX 1
Second Line :
City : BARIUM SPRINGS
State : NC
Zip : 28010-0001
Country : US
Telephone Number : 704-873-1011
Fax Number : 704-832-2253
Provider Business Practice Location Address
First Line : 1249 NORTH SOUTH STREET
Second Line : NO 100
City : MOUNT AIRY
State : NC
Zip : 27030-3850
Country : US
Telephone Number : 336-719-0030
Fax Number : 704-832-2253
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN KOPPELMEYER
Credential :
Telephone Number : 704-872-4157
Provider Enumeration Date : 03/22/2007
Last Update Date : 03/10/2011

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Directions to “BARIUM SPRINGS HOME FOR CHILDREN ” Practice Location

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