NPIMap

Organization Active NPI

The Mental Health Association in North Carolina, Inc.

Doing business as Bridgeton Place

  • Mental Illness Community Based Residential Treatment Facility
  • Whiteville, NC
National Provider Identifier
1336388131
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-024-076 Issued in NC
Legal business name
THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.
Doing business as
Bridgeton Place
Practice address
411 West Burkhead St
Whiteville, NC 28472-3103
Phone
(910) 640-3707
NPI assigned
Feb 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Mr. Kevin Cochran
Title
Finance Assistant
Phone
(919) 866-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-024-076 NC Primary

Addresses

Primary practice location

411 West Burkhead St
Whiteville, NC 28472-3103

Mailing address

1331 Sunday Dr
Raleigh, NC 27607-5166
Phone (919) 981-0740

Other names 1

  • Bridgeton Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Mental Health Association in North Carolina Inc100 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

411 W Burkhead St
Whiteville, NC 28472
Phone (910) 640-3707

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1336388131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 SUNDAY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075166",
            "telephone_number": "919-981-0740",
            "fax_number": "919-882-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WEST BURKHEAD ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723103",
            "telephone_number": "910-640-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FINANCE ASSISTANT",
        "authorized_official_telephone_number": "919-866-3287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-024-076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeton Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.