Active NPI
Mid-South Family Services
- Community/Behavioral Health Agency
- Fayetteville, NC
National Provider Identifier
1003123795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MID-SOUTH FAMILY SERVICES
- Practice address
- 700 Hope Mills Rd
Fayetteville, NC 28304-2220 - Phone
- (757) 541-4816
- NPI assigned
- Sep 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marvin R Crittenden
- Title
- Ceo
- Phone
- (757) 541-4816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
700 Hope Mills Rd
Fayetteville, NC 28304-2220
Mailing address
700 Hope Mills Rd
Fayetteville, NC 28304
Phone (757) 541-4816
Other names 1
- Mid-South Family Services
National Provider Directory
National Provider DirectoryLocations
700 Hope Mills Rd
Fayetteville, NC 28304
Phone (757) 541-4816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283385600000",
"number": "1003123795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HOPE MILLS RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304",
"telephone_number": "757-541-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HOPE MILLS RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042220",
"telephone_number": "757-541-4816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-SOUTH FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A",
"authorized_official_last_name": "CRITTENDEN",
"authorized_official_first_name": "MARVIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-541-4816",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mid-South Family Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.