NPIMap

Organization Active NPI

Dorothea Dix Hospital

  • Psychiatric Residential Treatment Facility
  • Raleigh, NC
National Provider Identifier
1265571277
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DOROTHEA DIX HOSPITAL
Practice address
820 S Boylan Ave
Raleigh, NC 27603-2246
Phone
(919) 733-5540
Fax
(919) 733-0743
NPI assigned
Feb 6, 2007
Last updated
Apr 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Mr. Dale Armstrong, MBA, FACHE
Title
Division Director - Dsohf
Phone
(919) 855-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

820 S Boylan Ave
Raleigh, NC 27603-2246

Mailing address

820 S Boylan Ave
Raleigh, NC 27603-2246
Phone (919) 733-5540

Other identifiers 1

IdentifierTypeStateIssuer
3404513MedicaidNC

Other names 1

  • Central Regional Hospital Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Central Regional Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1265571277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032246",
            "telephone_number": "919-733-5540",
            "fax_number": "919-733-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032246",
            "telephone_number": "919-733-5540",
            "fax_number": "919-733-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHEA DIX HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "DIVISION DIRECTOR - DSOHF",
        "authorized_official_telephone_number": "919-855-4700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, FACHE"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Regional Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.