Active NPI
Excel Outreach Center, Inc.
- Community/Behavioral Health Agency
- Erwin, NC
National Provider Identifier
1003208398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EXCEL OUTREACH CENTER, INC.
- Practice address
- 903 Butler Dr
Erwin, NC 28339-8519 - Phone
- (910) 658-2199
- Fax
- (910) 491-9692
- NPI assigned
- Feb 24, 2015
- 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
- Bonita McLean
- Title
- Executive Director
- Phone
- (910) 658-2199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
903 Butler Dr
Erwin, NC 28339-8519
Mailing address
903 Butler Dr
Erwin, NC 28339-8519
Phone (910) 658-2199
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424995200000",
"number": "1003208398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 BUTLER DR",
"city": "ERWIN",
"state": "NC",
"postal_code": "283398519",
"telephone_number": "910-658-2199",
"fax_number": "910-491-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 BUTLER DR",
"city": "ERWIN",
"state": "NC",
"postal_code": "283398519",
"telephone_number": "910-658-2199",
"fax_number": "910-491-9692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL OUTREACH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-27",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "BONITA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "910-658-2199"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erwin, NC
- Erwin Fire Department & Rescue Squad Inc
- Erwin Iga Inc
- Erwin Iga, Inc.
- Kiara Marie Everett, LCAS-A
- Excel Outreach and Supportive Services LLC
- Family Medicine of Harnett County, Incorprated
- Fresh Start-New Beginnings Community Services Inc.
- Sonya Godwin
- Good Hope Hospital, Inc.
- Good Hope Hospital, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.