FHPG, LLC

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

Legal business name

FHPG, LLC

Doing business as

Montgomery County School Based Health Center-West

Practice address

129 Nchighway 109 S
Mount Gilead, NC 27306-8941

Phone

(910) 572-1979

Fax

(910) 572-1961

NPI assigned

Oct 5, 2006

Last updated

Aug 3, 2020By 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

Mickey Foster

Title

Ceo

Phone

(910) 715-4473

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Montgomery County School Based Health Center-West Doing business as

Tax ID family

FHPG LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• FHPG, LLC

  dba Montgomery County School Based Health Center-East

  • School Nurse Practitioner
  • Biscoe, NC
  • NPI 1144316324
  NPD tax ID

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1376639674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NC HIGHWAY 109 S",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273068941",
            "telephone_number": "910-572-1979",
            "fax_number": "910-572-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NCHIGHWAY 109 S",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273068941",
            "telephone_number": "910-572-1979",
            "fax_number": "910-572-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHPG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8701704",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011MJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "TIN # -- SUFFIX 036",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery County School Based Health Center-West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montgomery County School Based Health Center-West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Mount Gilead, NC
• Providers in Mount Gilead, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.