SAM/OUTREACH PROGRAM
NPI 1003145665
Specialist in Lincolnton, NC

Active since December 10, 2009
114 E MAIN ST, STE. B, LINCOLNTON, NC 28092(704) 740-6512(704) 735-4995 Get Directions Write a Review

NPPES record last updated: December 10, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sam/outreach Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM/OUTREACH PROGRAM (NPI 1003145665) is a healthcare organization registered as a specialist in Lincolnton, North Carolina and active in the NPI registry since December 2009. The organization lists Rosalind Terrelle Bynum, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003145665
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAM/OUTREACH PROGRAM
Location Address114 E MAIN ST, STE. BLincolnton, NC 28092-2725
Mailing AddressPo Box 1710Lincolnton, NC 28093-1710 · (704) 740-6512 · Fax (704) 735-4995
Fax(704) 735-4995
Organization SubpartNo
Authorized OfficialRosalind Terrelle BynumExecutive Director · (704) 740-6512
Enumeration DateDecember 10, 2009
NPI 1003145665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · MHL-055-114
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
114 E MAIN ST, Lincolnton, NC 28092

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam/Outreach Program's NPI number?

The NPI number for Sam/Outreach Program is 1003145665. It was assigned to this organization in the NPPES registry on December 10, 2009.

Where is Sam/Outreach Program located?

Sam/Outreach Program is located at 114 E Main St Ste. B, Lincolnton, NC 28092. The listed phone number is (704) 740-6512.

What is Sam/Outreach Program's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sam/Outreach Program was last updated on December 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.