NPIMap

Organization Active NPI

Bertie County Rural Health

  • Specialist
  • Windsor, NC
National Provider Identifier
1053572131
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BERTIE COUNTY RURAL HEALTH
Practice address
104 Rhodes Ave
Windsor, NC 27983-9656
Phone
(252) 794-1835
Fax
(252) 794-2911
NPI assigned
Jun 20, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Albert Thompson, PHD
Title
Executive Director
Phone
(252) 794-1835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

104 Rhodes Ave
Windsor, NC 27983-9656

Mailing address

104 Rhodes Ave
PO Box 628
Windsor, NC 27983-9656
Phone (252) 794-1835

National Provider Directory

National Provider Directory
Tax ID family
BCR Health Association4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1053572131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RHODES AVE",
            "address_2": "PO BOX 628",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839656",
            "telephone_number": "252-794-1835",
            "fax_number": "252-794-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RHODES AVE",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839656",
            "telephone_number": "252-794-1835",
            "fax_number": "252-794-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTIE COUNTY RURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-794-1835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.