Active NPI
Fellowship Hall, Inc.
- Substance Abuse Rehabilitation Facility
- Greensboro, NC
National Provider Identifier
1225007719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- MHH001
- Legal business name
- FELLOWSHIP HALL, INC.
- Practice address
- 5140 Dunstan Rd
Greensboro, NC 27405-9565 - Phone
- (336) 621-3381
- Fax
- (336) 621-7513
- NPI assigned
- Mar 16, 2006
- 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
- Mr. Mike Yow
- Title
- President and Ceo
- Phone
- (336) 621-3381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | MHH001 | NC | Primary |
Addresses
Primary practice location
5140 Dunstan Rd
Greensboro, NC 27405-9565
Mailing address
5140 Dunstan Rd
Greensboro, NC 27405-9565
Phone (336) 621-3381
National Provider Directory
National Provider Directory- Tax ID family
- Fellowship Hall Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Greensboro, NC
- NPI 1942499819
Locations
5140 Dunstan Rd
Greensboro, NC 27405
Phone (336) 553-6635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1225007719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 DUNSTAN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274059565",
"telephone_number": "336-621-3381",
"fax_number": "336-621-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 DUNSTAN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274059565",
"telephone_number": "336-621-3381",
"fax_number": "336-621-7513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELLOWSHIP HALL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-16",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "YOW",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "336-621-3381",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NC",
"license": "MHH001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.