Provider Demographics
NPI:1154439412
Name:CONSOLIDATED HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:CONSOLIDATED HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TUCKER
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-273-5550
Mailing Address - Street 1:407 N ELM ST
Mailing Address - Street 2:POST OFFICE BOX 1828
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-5556
Mailing Address - Country:US
Mailing Address - Phone:910-345-0030
Mailing Address - Fax:910-345-0019
Practice Address - Street 1:407 N ELM ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-5556
Practice Address - Country:US
Practice Address - Phone:910-345-0030
Practice Address - Fax:910-345-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2452251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601427OtherMEDICAID PCS SAMPSON CO.
NC0023XOtherBCBS
NC6600303OtherMEDICAID PCS ROBESON CO.
NC3401574Medicaid
NC3408587OtherMEDICAID CAP
NC6601461OtherMCAID PCS CUMBERLAND CO.
NC341574Medicare ID - Type Unspecified