PRIMARY HEALTH CHOICE, INC.

Provider Demographics

• NPI: 1609182575
• Name: PRIMARY HEALTH CHOICE, INC.
• Entity Type: Organization
• Organization Name: PRIMARY HEALTH CHOICE, INC.
• Authorized Official - Title/Position: FINANCE DIRECTOR
• Authorized Official - First Name: ASHLEY
• Authorized Official - Last Name: LOCKLEAR
• Authorized Official - Phone: 910-865-3500
• Mailing Address - Street 1: PO BOX 159
• Mailing Address - City: SAINT PAULS
• Mailing Address - State: NC
• Mailing Address - Zip Code: 28384-0159
• Mailing Address - Country: US
• Practice Address - Street 1: 4701 FAYETTEVILLE RD
• Practice Address - City: LUMBERTON
• Practice Address - State: NC
• Practice Address - Zip Code: 28358-2697
• Practice Address - Country: US
• Practice Address - Phone: 910-738-3939
• Practice Address - Fax: 910-738-3938
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2010-08-30
• Last Update Date: 2023-09-20

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	251S00000X	Agencies	Community/Behavioral Health		Group - Multi-Specialty
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	5906542	Medicaid
NC	6008617	Medicaid
NC	8302374H	Medicaid
NC	3410063	Medicaid
NC	5912446	Medicaid
NC	5921147	Medicaid
NC	6006778	Medicaid
NC	8301851H	Medicaid
NC	8303235R	Medicaid
NC	5918940	Medicaid
NC	6005252	Medicaid
NC	6006974	Medicaid
NC	6008059	Medicaid
NC	6008845	Medicaid
NC	8303235G	Medicaid
NC	6006729	Medicaid
NC	6008848	Medicaid
NC	8302178H	Medicaid
NC	8703060	Medicaid
NC	5919214	Medicaid
NC	6008325	Medicaid
NC	6008618	Medicaid
NC	8301851G	Medicaid
NC	5922035	Medicaid
NC	6008773	Medicaid
NC	8300601G	Medicaid
NC	5919191	Medicaid
NC	8300600H	Medicaid