CAROLINA OUTREACH, LLC (NPI# 1063802718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063802718 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Practice Address |
911 Hay St Fayetteville NC 28305-5313 |
| Practice Telephone | 9104380939 |
| Mailing Telephone | 9104380939 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | ROB DAVIS (HUMAN RESOURCES) |
| Authorized Official Telephone | 9192519001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 34D2070270 | NC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CLIA CERTIFICATION | 34D2085455 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1669858510 | Carolina Outreach, LLC | Community/Behavioral Health | 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 | 2015-08-03 |
| 1922431089 | Carolina Outreach, LLC | Community/Behavioral Health | 112 E Park Dr, Beulaville, NC 28518-6916 | 2013-08-13 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 2013-08-13 |
| 1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
| 1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
| 1679956601 | Carolina Outreach, LLC | Community/Behavioral Health | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2015-07-08 |
| 1427456524 | Carolina Outreach, LLC | Clinical Medical Laboratory | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2014-12-05 |
| 1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
| 1285054692 | Carolina Outreach, LLC | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577 | 2014-04-24 |
| Street Address |
911 HAY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477619856 | H Wayne Tobin | Psychiatry & Neurology | 911 Hay St, Fayetteville, NC 28305-5313 | 2006-12-29 |
| 1467010819 | Samantha Nicole Hollon | Counselor | 911 Hay St, Fayetteville, NC 28305-5313 | 2019-05-31 |
| 1497312748 | Lindsey Herring | Counselor | 911 Hay St, Fayetteville, NC 28305-5313 | 2019-05-22 |
| 1992368849 | Brandi Bryant | Social Worker | 911 Hay St, Fayetteville, NC 28305-5313 | 2019-04-17 |
| 1952869877 | Tori Collins-newcombe | Social Worker | 911 Hay St, Fayetteville, NC 28305-5313 | 2019-03-10 |
| 1255803227 | Julie Marie Velie | Counselor | 911 Hay St, Fayetteville, NC 28305-5313 | 2019-01-01 |
| 1184192767 | Alvin E'shaun Leamond Reynolds | Social Worker | 911 Hay St, Fayetteville, NC 28305-5313 | 2018-11-13 |
| 1922582428 | Kari Anne Grant | Social Worker | 911 Hay St, Fayetteville, NC 28305-5313 | 2018-09-20 |
| 1114403177 | Chelsea Nicole Brooks | Social Worker | 911 Hay St, Fayetteville, NC 28305-5313 | 2018-07-12 |
| 1437655743 | Emily Breann Dean | Counselor | 911 Hay St, Fayetteville, NC 28305-5313 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275001851 | Cquentia Arkansas Lab LLC | Clinical Medical Laboratory | 112 W Center St Ste 504, Fayetteville, AR 72701-6073 | 2018-11-13 |
| 1619349107 | Living Well Behavioral Health Lab | Clinical Medical Laboratory | 2350 Bentridge Ln Ste 301a, Fayetteville, NC 28304-0590 | 2015-10-23 |
| 1962899989 | Ancillary Innovations | Clinical Medical Laboratory | 1792 E Joyce Blvd Ste 3, Fayetteville, AR 72703-5255 | 2015-04-16 |
| 1932404274 | Kaiser Permanente | Clinical Medical Laboratory | 101 Banks Sta, Fayetteville, GA 30214-7507 | 2011-01-18 |
| 1124646013 | Namida Lab Inc. | Clinical Medical Laboratory | 1905 E Mission Blvd Ste 6, Fayetteville, AR 72703-3129 | 2020-07-08 |
| 1053850206 | Bluewest/lab LLC | Clinical Medical Laboratory | 1076 Stamper Rd, Fayetteville, NC 28303-4191 | 2017-02-21 |
| 1356889950 | Cumberland County Health System Inc | Clinical Medical Laboratory | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2017-02-03 |
| 1336517507 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1307 Avon St, Fayetteville, NC 28304-4423 | 2015-09-04 |
| 1790184760 | Arkansas Medical Imaging Jv LLC | Clinical Medical Laboratory | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2014-08-15 |
| 1669800165 | Lab One LLC | Clinical Medical Laboratory | 3215 N Northhills Blvd, Ste B, Fayetteville, AR 72703-4424 | 2013-10-17 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.