Organization Active NPI

1St National Rock of Ages Cathedral

  • Health Service Clinic/Center
  • Rocky Mount, NC
National Provider Identifier
1154476315
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HC3277 Issued in NC
Legal business name
1ST NATIONAL ROCK OF AGES CATHEDRAL
Practice address
430 Albemarle Ave
Rocky Mount, NC 27801
Phone
(252) 985-5981
Fax
(252) 459-5981
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Mr. Jimmy Lee Williams Sr.
Title
President
Phone
(252) 452-9711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HC3277 NC Primary

Addresses

Primary practice location

430 Albemarle Ave
Rocky Mount, NC 27801

Mailing address

PO Box 6997
430 Albemarle Ave
Rocky Mount, NC 27802
Phone (252) 442-1416

Other names 1

  • First National Unity Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

430 Albemarle Ave
Rocky Mount, NC 27801
Phone (252) 452-9711

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1154476315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6997",
            "address_2": "430 ALBEMARLE AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27802",
            "telephone_number": "252-442-1416",
            "fax_number": "252-985-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ALBEMARLE AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27801",
            "telephone_number": "252-985-5981",
            "fax_number": "252-459-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST NATIONAL ROCK OF AGES CATHEDRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-452-9711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "HC3277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First National Unity Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.