Place of Purpose

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PLACE OF PURPOSE

Practice address

109 Dr MLK Jr Dr N
Ahoskie, NC 27910-7612

Phone

(252) 395-0631

NPI assigned

Feb 14, 2019

Last updated

Feb 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Candance H Mebane, RN

Title

Ceo

Phone

(252) 395-0631

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1285190355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CHOANOKE INDIAN TRL",
            "city": "WINTON",
            "state": "NC",
            "postal_code": "279869512",
            "telephone_number": "252-395-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DR MLK JR DR N",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279107612",
            "telephone_number": "252-395-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACE OF PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "MEBANE",
        "authorized_official_first_name": "CANDANCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-395-0631",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.