Provider Demographics
NPI:1467557074
Name:SPIGNER MANAGEMENT SYSTEMS, INC.
Entity Type:Organization
Organization Name:SPIGNER MANAGEMENT SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SPIGNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS,QP
Authorized Official - Phone:910-864-1807
Mailing Address - Street 1:PO BOX 758
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-0758
Mailing Address - Country:US
Mailing Address - Phone:910-864-1807
Mailing Address - Fax:910-867-6482
Practice Address - Street 1:601 MANN ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-6239
Practice Address - Country:US
Practice Address - Phone:910-864-1807
Practice Address - Fax:910-867-6482
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPIGNER MANAGEMENT SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-14
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8301138251X00000X
NC8301138B302R00000X
NC3408755305R00000X
NCHAL-026-016310400000X
NCMHL-026-653320600000X
NCMHL-026-272320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No251X00000XAgenciesSupports Brokerage
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301138BMedicaid
NC8301138GMedicaid