Opportunities Industrialization Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

OPPORTUNITIES INDUSTRIALIZATION CENTER, INC

Doing business as

OIC Williford School Clinic

Practice address

801 Williford St
Rocky Mount, NC 27803-3825

Phone

(252) 210-9856

Fax

(252) 822-5065

NPI assigned

Jun 7, 2018

Organization subpart

Yes

Parent organization

OPPORTUNITIES INDUSTRIALIZATION CENTER, INCAs reported in NPPES

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

Authorized official

Name

Reuben Blackwell IV

Title

Ceo

Phone

(252) 212-3480

Specialties & licenses 1

Addresses

Other names 1

• OIC Williford School Clinic Doing business as

Part of

Rocky Mount Oic Family Medical Center

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1245723097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2723",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278022723",
            "telephone_number": "252-212-3486",
            "fax_number": "252-212-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WILLIFORD ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278033825",
            "telephone_number": "252-210-9856",
            "fax_number": "252-822-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITIES INDUSTRIALIZATION CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPPORTUNITIES INDUSTRIALIZATION CENTER, INC",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-212-3480",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OIC Williford School Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OIC Williford School Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Opportunities Industrialization Center, Inc
• Opportunities Industrialization Center, Inc

• Federally Qualified Health Center (FQHC) in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Federally Qualified Health Center (FQHC) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.