Provider Demographics
NPI:1568511145
Name:PRIME HEALTH, INC.
Entity Type:Organization
Organization Name:PRIME HEALTH, INC.
Other - Org Name:HEALTH FORCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARMELINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-787-3106
Mailing Address - Street 1:PO BOX 20021
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27619-0021
Mailing Address - Country:US
Mailing Address - Phone:919-787-3016
Mailing Address - Fax:919-787-6204
Practice Address - Street 1:3901 BARRETT DR
Practice Address - Street 2:SUITE 205
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6611
Practice Address - Country:US
Practice Address - Phone:919-787-3106
Practice Address - Fax:919-787-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC 0015251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600182Medicaid