Individuals First Care Network, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

046-036 Issued in NC

Legal business name

INDIVIDUALS FIRST CARE NETWORK, INC.

Practice address

209 Rail Road St.
Ahoskie, NC 27910-3042

Phone

(252) 862-8504

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Gail Lynne Spates

Title

Ceo

Phone

(757) 352-7764

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1225310048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RAIL ROAD ST.",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103042",
            "telephone_number": "252-862-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RAIL ROAD ST.",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103042",
            "telephone_number": "252-862-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALS FIRST CARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "SPATES",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-352-7764",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "046-036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ahoskie, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.