Organization Active NPI

Community Based Learning Alternatives Center Inc

  • Community/Behavioral Health Agency
  • Smithfield, NC
National Provider Identifier
1003001082
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL 051 161 Issued in NC
Legal business name
COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC
Practice address
212 Bridge St
Smithfield, NC 27577-3963
Phone
(919) 938-4344
Fax
(919) 938-4342
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Janet M Wise
Title
Executive Director
Phone
(919) 989-1786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL 051 161 NC Primary

Addresses

Primary practice location

212 Bridge St
Smithfield, NC 27577-3963

Mailing address

1300 W Market St
Smithfield, NC 27577-3339
Phone (919) 989-1786

Other identifiers 5

IdentifierTypeStateIssuer
5901780MedicaidNC
6600860MedicaidNC
6005614MedicaidNC
8301075MedicaidNC
8700356MedicaidNC

National Provider Directory

National Provider Directory

Locations

212 Bridge St
Smithfield, NC 27577
Phone (919) 938-4344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1003001082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W MARKET ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773339",
            "telephone_number": "919-989-1786",
            "fax_number": "919-989-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BRIDGE ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773963",
            "telephone_number": "919-938-4344",
            "fax_number": "919-938-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED LEARNING ALTERNATIVES CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-989-1786",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL 051 161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901780",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600860",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005614",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301075",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700356",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.