NPIMap

Organization Active NPI

Selective Choices for Services Inc.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1164629630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SELECTIVE CHOICES FOR SERVICES INC.
Doing business as
Selective Choices
Practice address
1001 S Marshall St
Suite 235
Winston Salem, NC 27101-5852
Phone
(336) 723-4222
Fax
(336) 723-4238
NPI assigned
Jun 28, 2007
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
Mr. Eugene E Brown Jr., OWNER
Title
Ceo
Phone
(336) 723-4222

Specialties & licenses 1

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

Addresses

Primary practice location

1001 S Marshall St
Suite 235
Winston Salem, NC 27101-5852

Mailing address

1001 S Marshall St
Suite 235
Winston Salem, NC 27101-5852
Phone (336) 723-4222

Other identifiers 1

IdentifierTypeStateIssuer
8300508BMedicaidNC

Other names 1

  • Selective Choices Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Selective Choices4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164629630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST",
            "address_2": "SUITE 235",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015852",
            "telephone_number": "336-723-4222",
            "fax_number": "336-723-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST",
            "address_2": "SUITE 235",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015852",
            "telephone_number": "336-723-4222",
            "fax_number": "336-723-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE CHOICES FOR SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-723-4222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300508B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Selective Choices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, 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.