Organization Active NPI

Sunrise Specialty Clinic, Inc

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1265672059
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNRISE SPECIALTY CLINIC, INC
Practice address
709 B Hay Street
Fayetteville, NC 28301-5423
Phone
(910) 321-0096
Fax
(910) 483-5661
NPI assigned
Mar 6, 2009
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Nathaniel Howard Rhone, BS
Title
Ceo
Phone
(910) 321-0096

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Community/Behavioral Health Agency 251S00000X NC
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

709 B Hay Street
Fayetteville, NC 28301-5423

Mailing address

709 B Hay Street
Fayetteville, NC 28301-5423
Phone (910) 321-0096

Other names 1

  • The Dixie Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Specialty Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

709 Hay St
#B
Fayetteville, NC 28301
Phone (910) 321-0096

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1265672059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 B HAY STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015423",
            "telephone_number": "910-321-0096",
            "fax_number": "910-483-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 B HAY STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015423",
            "telephone_number": "910-321-0096",
            "fax_number": "910-483-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SPECIALTY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "RHONE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-321-0096",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dixie Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.