NPIMap

Organization Active NPI

Iquolioc, Inc.

  • Case Management Agency
  • Jacksonville, NC
National Provider Identifier
1295904001
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0700012694 Issued in NC
Legal business name
IQUOLIOC, INC.
Practice address
675 Bell Fork Rd
Jacksonville, NC 28540-6315
Phone
(910) 355-2000
Fax
(910) 355-3047
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Tammy Cleveland
Title
President
Phone
(910) 355-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0700012694 NC Primary
Community/Behavioral Health Agency 251S00000X 0700012694 NC

Addresses

Primary practice location

675 Bell Fork Rd
Jacksonville, NC 28540-6315

Mailing address

675 Bell Fork Rd
Jacksonville, NC 28540-6315
Phone (910) 355-2000

Other identifiers 3

IdentifierTypeStateIssuer
8301171MedicaidNC
8301171BMedicaidNC
3409548MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Iquolioc Inc4 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

675 Bell Fork Rd
Jacksonville, NC 28540
Phone (910) 355-2000

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1295904001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BELL FORK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406315",
            "telephone_number": "910-355-2000",
            "fax_number": "910-355-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BELL FORK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406315",
            "telephone_number": "910-355-2000",
            "fax_number": "910-355-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQUOLIOC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-355-2000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "0700012694",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "0700012694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301171",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301171B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.