Provider Demographics
NPI:1881977825
Name:BEYOND MEASURE COMMUNITY OUTREACH
Entity type:Organization
Organization Name:BEYOND MEASURE COMMUNITY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANIQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-362-1457
Mailing Address - Street 1:64 BENJAMIN RD
Mailing Address - Street 2:
Mailing Address - City:CHOCOWINITY
Mailing Address - State:NC
Mailing Address - Zip Code:27817-8053
Mailing Address - Country:US
Mailing Address - Phone:252-362-1457
Mailing Address - Fax:252-940-0159
Practice Address - Street 1:64 BENJAMIN RD
Practice Address - Street 2:
Practice Address - City:CHOCOWINITY
Practice Address - State:NC
Practice Address - Zip Code:27817-8053
Practice Address - Country:US
Practice Address - Phone:252-362-1457
Practice Address - Fax:252-940-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization