Organization Active NPI

Jones Health Services Inc.

  • Adult Mental Health Clinic/Center
  • Durham, NC
National Provider Identifier
1093038994
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
FCL-032-087 Issued in NC
Legal business name
JONES HEALTH SERVICES INC.
Practice address
3811 Pickett Rd
Durham, NC 27705-5331
Phone
(919) 403-9644
Fax
(919) 489-1412
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Mr. Ricky Hill
Title
Administrator
Phone
(919) 403-9644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X FCL-032-087 NC Primary

Addresses

Primary practice location

3811 Pickett Rd
Durham, NC 27705-5331

Mailing address

3811 Pickett Rd
Durham, NC 27705-5331
Phone (919) 403-9644

Other identifiers 2

IdentifierTypeStateIssuer
7806231MedicaidNC
3418502MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Jones Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1093038994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055331",
            "telephone_number": "919-403-9644",
            "fax_number": "919-489-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055331",
            "telephone_number": "919-403-9644",
            "fax_number": "919-489-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-403-9644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "FCL-032-087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806231",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418502",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.