NPIMap

Organization Active NPI

Corpus Christi Services, Inc.

  • Community/Behavioral Health Agency
  • Parkton, NC
National Provider Identifier
1316073760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL078147 Issued in NC
Legal business name
CORPUS CHRISTI SERVICES, INC.
Practice address
31 Acadiana Drive
Parkton, NC 28371-9051
Phone
(910) 858-1582
Fax
(910) 735-2987
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cheryl Renee McRae
Title
President
Phone
(910) 858-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL078147 NC Primary

Addresses

Primary practice location

31 Acadiana Drive
Parkton, NC 28371-9051

Mailing address

PO Box 640
Parkton, NC 28371-0640
Phone (910) 858-1582

Other identifiers 1

IdentifierTypeStateIssuer
6606310MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Corpus Christi Services Inc3 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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316073760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283710640",
            "telephone_number": "910-858-1582",
            "fax_number": "910-735-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ACADIANA DRIVE",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283719051",
            "telephone_number": "910-858-1582",
            "fax_number": "910-735-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-858-1582",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL078147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6606310",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.