Provider Demographics
NPI:1851577670
Name:CONTOUR SERVICES, INC
Entity Type:Organization
Organization Name:CONTOUR SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALIFIED PROFESSIONAL
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-238-0338
Mailing Address - Street 1:209 E WADE ST
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170-2228
Mailing Address - Country:US
Mailing Address - Phone:704-238-0338
Mailing Address - Fax:704-238-0689
Practice Address - Street 1:209 E WADE ST
Practice Address - Street 2:SUITE 107 - C
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-2228
Practice Address - Country:US
Practice Address - Phone:704-238-0338
Practice Address - Fax:704-238-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301515BMedicaid