NPIMap

Organization Active NPI

Outreach Management Services LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1407156367
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OUTREACH MANAGEMENT SERVICES LLC
Practice address
1723 Armstrong Park Dr
Gastonia, NC 28054-4802
Phone
(704) 854-9828
Fax
(704) 854-9882
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Alexander Walker
Title
Executive Director
Phone
(704) 854-9828

Specialties & licenses 1

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

Addresses

Primary practice location

1723 Armstrong Park Dr
Gastonia, NC 28054-4802

Mailing address

1723 Armstrong Park Dr
Gastonia, NC 28054-4802
Phone (704) 854-9828

Other identifiers 1

IdentifierTypeStateIssuer
8300696MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Outreach Management Services LLC3 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": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1407156367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 ARMSTRONG PARK DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544802",
            "telephone_number": "704-854-9828",
            "fax_number": "704-854-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 ARMSTRONG PARK DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544802",
            "telephone_number": "704-854-9828",
            "fax_number": "704-854-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-854-9828"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300696",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

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

Verify at the official NPI Registry.