Provider Demographics
NPI:1093903874
Name:COMMUNITY HEALTHWATCH SERVICES INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTHWATCH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-695-4250
Mailing Address - Street 1:280 PINEHURST AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-6350
Mailing Address - Country:US
Mailing Address - Phone:910-695-4250
Mailing Address - Fax:910-695-4251
Practice Address - Street 1:280 PINEHURST AVE STE A
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-6350
Practice Address - Country:US
Practice Address - Phone:910-695-4250
Practice Address - Fax:910-695-4251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health