Active NPI
Pathfinders of Coastal Carolina, Inc.
- Developmentally Disabled Services Day Training Agency
- Plymouth, NC
National Provider Identifier
1407000706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- PATHFINDERS OF COASTAL CAROLINA, INC.
- Practice address
- 125-A. West Water St.
Plymouth, NC 27962-1305 - Phone
- (252) 793-3057
- Fax
- (252) 793-3057
- NPI assigned
- Nov 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Evan Wilkins
- Title
- Ceo/ President
- Phone
- (410) 251-2311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
125-A. West Water St.
Plymouth, NC 27962-1305
Mailing address
PO Box 97
Roper, NC 27970-0097
Phone (252) 793-3057
National Provider Directory
National Provider Directory- Tax ID family
- Pathfinders of Coastal Carolina Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Plymouth, NC
- NPI 1831422005
Locations
125A W Water St
Plymouth, NC 27962
Phone (252) 793-3057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265673600000",
"number": "1407000706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "ROPER",
"state": "NC",
"postal_code": "279700097",
"telephone_number": "252-793-3057",
"fax_number": "252-793-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125-A. WEST WATER ST.",
"city": "PLYMOUTH",
"state": "NC",
"postal_code": "279621305",
"telephone_number": "252-793-3057",
"fax_number": "252-793-3057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHFINDERS OF COASTAL CAROLINA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-13",
"last_updated": "2010-02-09",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "EVAN",
"authorized_official_title_or_position": "CEO/ PRESIDENT",
"authorized_official_telephone_number": "410-251-2311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.