NPIMap

Organization Active NPI

Pavillon International Outpatient Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, NC
National Provider Identifier
1013139229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
MHL 075-018 Issued in NC
Legal business name
PAVILLON INTERNATIONAL OUTPATIENT SERVICES
Practice address
801 W Mills St
Columbus, NC 28722-8494
Phone
(828) 894-0293
Fax
(828) 894-0296
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anne Vance
Title
Ceo
Phone
(828) 625-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MHL 075-018 NC Primary

Addresses

Primary practice location

801 W Mills St
Columbus, NC 28722-8494

Mailing address

801 W Mills St
Columbus, NC 28722-8494
Phone (828) 894-0293

National Provider Directory

National Provider Directory
Tax ID family
Pavillon International Outpatient Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 W Mills St
Columbus, NC 28722
Phone (828) 817-0723

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013139229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MILLS ST",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228494",
            "telephone_number": "828-894-0293",
            "fax_number": "828-894-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MILLS ST",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228494",
            "telephone_number": "828-894-0293",
            "fax_number": "828-894-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILLON INTERNATIONAL OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-625-8210"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "MHL 075-018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.