Organization Active NPI

An & FC Barnes Health Services, Inc.

  • Case Management Agency
  • Wilson, NC
National Provider Identifier
1093864167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AN & FC BARNES HEALTH SERVICES, INC.
Practice address
504 E Green St
Ste 211
Wilson, NC 27893-4195
Phone
(252) 399-7522
NPI assigned
Jan 9, 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
Mrs. Demita Lujoyce Edmundson
Title
Executive Director
Phone
(252) 399-7522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

504 E Green St
Ste 211
Wilson, NC 27893-4195

Mailing address

PO Box 984
Wilson, NC 27894-0984
Phone (252) 399-7522

Other identifiers 1

IdentifierTypeStateIssuer
8700419MedicaidNC

National Provider Directory

National Provider Directory

Locations

504 Green St E
Ste 211
Wilson, NC 27893
Phone (252) 399-7522

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093864167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278940984",
            "telephone_number": "252-399-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E GREEN ST",
            "address_2": "STE 211",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934195",
            "telephone_number": "252-399-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN & FC BARNES HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDMUNDSON",
        "authorized_official_first_name": "DEMITA",
        "authorized_official_middle_name": "LUJOYCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-399-7522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, 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.