NPIMap

Organization Active NPI

Children's Health of Carolina, PA

  • Pediatrics Physician
  • Lumberton, NC
National Provider Identifier
1063760031
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S HEALTH OF CAROLINA, PA
Practice address
400 Liberty Hill Rd
Lumberton, NC 28358-2446
Phone
(910) 739-3318
Fax
(910) 671-3600
NPI assigned
Aug 24, 2012
Last updated
Aug 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Rose C Duckworth
Title
Compliance Officer
Phone
(910) 738-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

400 Liberty Hill Rd
Lumberton, NC 28358-2446

Mailing address

400 Liberty Hill Rd
Lumberton, NC 28358-2446
Phone (910) 739-3318

National Provider Directory

National Provider Directory
Tax ID family
Children's Health of Carolina Dba Lumberton Children's Clinic Mental9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1063760031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LIBERTY HILL RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582446",
            "telephone_number": "910-739-3318",
            "fax_number": "910-671-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LIBERTY HILL RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582446",
            "telephone_number": "910-739-3318",
            "fax_number": "910-671-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH OF CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-24",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "DUCKWORTH",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "910-738-8060"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.