Provider Demographics
NPI:1861557324
Name:LECHRIS HEALTH SYSTEMS OF GREENVILLE, INC.
Entity type:Organization
Organization Name:LECHRIS HEALTH SYSTEMS OF GREENVILLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:HAWKINS
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:1822 S GLENBURNIE RD
Mailing Address - Street 2:SUITE 352
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5221
Mailing Address - Country:US
Mailing Address - Phone:252-636-6105
Mailing Address - Fax:252-636-6109
Practice Address - Street 1:2050 EASTGATE DR
Practice Address - Street 2:SUITE E
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4283
Practice Address - Country:US
Practice Address - Phone:252-353-8452
Practice Address - Fax:252-353-8457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-074-108251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300230HMedicaid
NC8300230Medicaid
NC8300230BMedicaid
NC8300230GMedicaid