Organization Active NPI

Koship Industries

  • Community/Behavioral Health Agency
  • Elizabethtown, NC
National Provider Identifier
1114619590
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KOSHIP INDUSTRIES
Practice address
1150 Twisted Hickory Rd
Elizabethtown, NC 28337-5202
Phone
(843) 998-1223
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Koby Matthew Shipman
Title
Chief Executive Officer,
Phone
(843) 998-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1150 Twisted Hickory Rd
Elizabethtown, NC 28337-5202

Mailing address

1150 Twisted Hickory Rd
Elizabethtown, NC 28337-5202
Phone (843) 998-1223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1114619590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 TWISTED HICKORY RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283375202",
            "telephone_number": "843-998-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 TWISTED HICKORY RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283375202",
            "telephone_number": "843-998-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSHIP INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "KOBY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER,",
        "authorized_official_telephone_number": "843-998-1223"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.