Active NPI
Potters House of Beaufort County, Inc.
- Community/Behavioral Health Agency
- Washington, NC
National Provider Identifier
1174666176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- POTTERS HOUSE OF BEAUFORT COUNTY, INC.
- Practice address
- 405 N Market St
Washington, NC 27889-4935 - Phone
- (252) 946-6390
- Fax
- (252) 946-3847
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tonya Woolard
- Title
- Ceo
- Phone
- (252) 946-6390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
405 N Market St
Washington, NC 27889-4935
Mailing address
405 N Market St
Washington, NC 27889-4935
Phone (252) 946-6390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300727 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Potter'S House of Beaufort County Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Washington, NC
- NPI 1124213822
-
- Community/Behavioral Health Agency
- Washington, NC
- NPI 1841485547
-
- Community/Behavioral Health Agency
- Washington, NC
- NPI 1932394632
Locations
405 N Market St
Washington, NC 27889
Phone (252) 946-6390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1174666176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N MARKET ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894935",
"telephone_number": "252-946-6390",
"fax_number": "252-946-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N MARKET ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894935",
"telephone_number": "252-946-6390",
"fax_number": "252-946-3847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POTTERS HOUSE OF BEAUFORT COUNTY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "WOOLARD",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-946-6390",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300727",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, NC
- Port Human Services
- Robert L Poston
- Potter'S House of Beaufort County, Inc.
- Potter'S House of Beaufort County, Inc.
- Potter'S House of Beaufort County, Inc.
- Christina Marie Powell, DO
- Precision Surgical Care PLLC
- Proactive Therapy of North Carolina Inc
- Amanda Proffitt, PT, DPT
- Rahab Serenity Home Phase LL LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.