Provider Demographics
NPI:1053484451
Name:COORDINATED HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:COORDINATED HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ENTERKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:919-465-0910
Mailing Address - Street 1:1224 COPELAND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6614
Mailing Address - Country:US
Mailing Address - Phone:919-465-0910
Mailing Address - Fax:919-465-0918
Practice Address - Street 1:1501 N ROBERTS AVE
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2279
Practice Address - Country:US
Practice Address - Phone:910-345-0180
Practice Address - Fax:910-345-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251E00000XAgenciesHome Health
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902937Medicaid
NC8300381BMedicaid
NE8300381SMedicaid
NC8300381GMedicaid
NC8300381Medicaid
NC8300381HMedicaid