Organization Active NPI

Community Care of the Lower Cape Fear Inc

  • Health Maintenance Organization
  • Wilmington, NC
National Provider Identifier
1205979424
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
COMMUNITY CARE OF THE LOWER CAPE FEAR INC
Practice address
1209 Culbreth Dr
Suite 200
Wilmington, NC 28405-8350
Phone
(910) 763-0200
Fax
(910) 763-0222
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Ms. Donna York Meacham
Title
Cfo
Phone
(910) 332-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1209 Culbreth Dr
Suite 200
Wilmington, NC 28405-8350

Mailing address

1209 Culbreth Dr
Suite 200
Wilmington, NC 28405-8350
Phone (910) 763-0200

Other identifiers 1

IdentifierTypeStateIssuer
3408897MedicaidNC

National Provider Directory

National Provider Directory

Locations

201 N Front St
Ste 709
Wilmington, NC 28401
Phone (910) 763-0200

1209 Culbreth Dr
#200
Wilmington, NC 28405

1209 Culbreth Dr
Ste 200
Wilmington, NC 28405
Phone (910) 332-9545

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": "1462147200000",
    "number": "1205979424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CULBRETH DR",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058350",
            "telephone_number": "910-763-0200",
            "fax_number": "910-763-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 CULBRETH DR",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058350",
            "telephone_number": "910-763-0200",
            "fax_number": "910-763-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE OF THE LOWER CAPE FEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "YORK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-332-9545",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408897",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.