Provider Demographics
NPI:1871742809
Name:LECHRIS HEALTH SYSTEMS OF GREENVILLE, INC.
Entity type:Organization
Organization Name:LECHRIS HEALTH SYSTEMS OF GREENVILLE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:2050 EASTGATE DRIVE
Mailing Address - Street 2:STE E
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4283
Mailing Address - Country:US
Mailing Address - Phone:252-413-0394
Mailing Address - Fax:252-752-0209
Practice Address - Street 1:2050 EASTGATE DRIVE
Practice Address - Street 2:STE E
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4283
Practice Address - Country:US
Practice Address - Phone:252-413-0394
Practice Address - Fax:252-752-0209
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LECHRIS HEALTH SYSTEMS OF GREENVILLE,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-15
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-074-197251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302422Medicaid
NC8302422SMedicaid