NPIMap

Organization Active NPI

Alcohol and Drug Services of Guilford

  • Community/Behavioral Health Agency
  • Hickory, NC
National Provider Identifier
1063550218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-018-073 Issued in NC
Legal business name
ALCOHOL AND DRUG SERVICES OF GUILFORD
Practice address
1055 13TH St SE
Hickory, NC 28602-4165
Phone
(828) 449-1020
Fax
(336) 443-1030
NPI assigned
Feb 1, 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
Mr. Ron C. Rau Jr., MBA
Title
Executive Director
Phone
(336) 812-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-018-073 NC Primary

Addresses

Primary practice location

1055 13TH St SE
Hickory, NC 28602-4165

Mailing address

1055 13TH St SE
Hickory, NC 28602-4165
Phone (828) 449-1020

Other identifiers 5

IdentifierTypeStateIssuer
8301010GMedicaidNC
8301010MedicaidNC
6005606MedicaidNC
8301010QMedicaidNC
8301010BMedicaidNC

Other names 1

  • ADS-Hickory Other name

National Provider Directory

National Provider Directory
Tax ID family
Ads-Burlington7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1055 13th St SE
Hickory, NC 28602
Phone (828) 449-1020

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063550218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 13TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "828-449-1020",
            "fax_number": "336-443-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 13TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024165",
            "telephone_number": "828-449-1020",
            "fax_number": "336-443-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND DRUG SERVICES OF GUILFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-812-8645",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-018-073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301010G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301010",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005606",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301010Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301010B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADS-Hickory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hickory, 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.