Provisional Hill Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251S00000X Issued in NC

Legal business name

PROVISIONAL HILL INC

Practice address

808 Morrattock Rd
Suite 7
Plymouth, NC 27962-9359

Phone

(252) 793-2660

Fax

(252) 793-2452

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Hill

Title

Ceo Owner

Phone

(252) 793-2660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174651723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MORRATTOCK RD",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629359",
            "telephone_number": "252-793-2660",
            "fax_number": "252-793-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MORRATTOCK RD",
            "address_2": "SUITE 7",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629359",
            "telephone_number": "252-793-2660",
            "fax_number": "252-793-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONAL HILL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "252-793-2660"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.