PHS (NPI# 1437290426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437290426 |
| Entity Type | Organization |
| Organization Name | PHS |
| Practice Address |
1058 W Club Blvd Durham NC 27701-1104 |
| Mailing Address |
Po Box 637 Cary NC 27512-0637 |
| Practice Telephone | 9192901155 |
| Practice Fax Number | 9192901155 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELIZABETH GREENWOOD (CONSULTANT) |
| Authorized Official Telephone | 9192901155 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PHS | 6450 Swan Ct, Klamath Falls, OR 97603 |
| System for Award Management (SAM) Entities | PHS | 352 Lantana Rd, Crossville, TN 38555-4912 |
| Washington State Corporations | PHS 220TH I, LLC | 43815 284th Ave Se, Enumclaw, WA 98022-8225 |
| Washington State Corporations | PHS 220TH II, LLC | 43815 284th Ave Se, Enumclaw, WA 98022-8225 |
| Washington State Corporations | PHS 220TH III, LLC | 43815 284th Ave Se, Enumclaw, WA 98022-8225 |
| Washington State Corporations | PHS 220TH IV, LLC | 43815 284th Ave Se, Enumclaw, WA 98022-8225 |
| Washington State Corporations | PHS 220TH V, LLC | 43815 284th Ave Se, Enumclaw, WA 98022-8225 |
| Washington State Corporations | PHS 220TH VI, LLC | 43815 284th Ave Se, Enumclaw, WA 98022-8225 |
| Oregon Corporations, Companies and Business Names | PHS 67 REUNION | 622 Ne Fleming Ave, Gresham, OR 97030 |
| New York State Corporations | PHS CAPITAL LLC | 90 State Street, Ste 700, Office 40, Albany, New York 12207 |
| Street Address |
1058 W CLUB BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819547 | Optometric Eye Care Center of Durham Pa | Technician/Technologist | 1058 W Club Blvd, Durham, NC 27701-1115 | 2005-11-21 |
| 1326572322 | Khr Beauty& Hairloss Center LLC | Specialist | 1058 W Club Blvd, 623, Durham, NC 27701-1104 | 2017-04-17 |
| 1982153581 | Keisha Hunterrorie | Specialist | 1058 W Club Blvd, 623, Durham, NC 27701-1104 | 2016-09-25 |
| 1811353451 | Ava V Hinton Pllc | Counselor | 1058 W Club Blvd, Ste 602, Durham, NC 27701-1104 | 2016-01-12 |
| 1073998928 | Emowellness Incorporated | Clinical Nurse Specialist | 1058 W Club Blvd, Suite 614, Durham, NC 27701-1104 | 2015-07-21 |
| 1891031464 | Ava Vernell Hinton | Counselor | 1058 W Club Blvd, Suite #614, Durham, NC 27701-1104 | 2012-12-29 |
| 1225381338 | Lei Ventures,llc | In Home Supportive Care | 1058 W Club Blvd, 220a, Durham, NC 27701-1104 | 2012-10-26 |
| 1629360748 | Hilda Lavette Williams | Social Worker | 1058 W Club Blvd, Ste 602, Durham, NC 27701-1159 | 2011-05-08 |
| 1841521911 | Randy Robinson | Counselor | 1058 W Club Blvd, Suite 616, Durham, NC 27701-1104 | 2010-01-28 |
| 1891959524 | Deric J. Boston, Lcsw | Community/Behavioral Health | 1058 W Club Blvd, Box 642, Durham, NC 27701-1104 | 2008-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| 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 |
|---|---|---|---|---|
| 1538799358 | Scipher Medicine Corporation | Clinical Medical Laboratory | 4134 S Alston Ave Ste 104, Durham, NC 27713-1870 | 2020-01-21 |
| 1295203909 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4309 Medical Park Dr Ste 200, Durham, NC 27704-2389 | 2018-11-12 |
| 1447774641 | Metamark Genetics, Inc | Clinical Medical Laboratory | 1912 Tw Alexander Drive Rooms 243 & 250, Durham, NC 27709 | 2017-07-29 |
| 1356701742 | Almac Diagnostics LLC | Clinical Medical Laboratory | 4238 Technology Dr, Durham, NC 27704-2128 | 2016-02-29 |
| 1194005355 | Metabolon, Inc. | Clinical Medical Laboratory | 617 Davis Dr, Ste 400, Durham, NC 27713 | 2011-08-19 |
| 1386968675 | Opans, LLC | Clinical Medical Laboratory | 4134 S Alston Ave, Suite 102, Durham, NC 27713-1870 | 2010-03-16 |
| 1194995431 | The Wavewatch Group, Inc. | Clinical Medical Laboratory | 1925 W Cornwallis Rd, Durham, NC 27705-5707 | 2008-03-03 |
| 1689656480 | Duke University Health System Inc | Clinical Medical Laboratory | 3643 N Roxboro Road, Durham, NC 27704-2702 | 2005-11-17 |
| 1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
| 1619296597 | Yoshihiro Tokuhisa | Clinical Medical Laboratory | 508 Fulton St, Durham, NC 27705-3875 | 2010-05-18 |
| Find all providers in DURHAM | ||||
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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.