Organization Active NPI

Wilson County Alternative School

  • Developmentally Disabled Services Day Training Agency
  • Wilson, NC
National Provider Identifier
1407914682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL-098-106 Issued in NC
Legal business name
WILSON COUNTY ALTERNATIVE SCHOOL
Practice address
316 Douglas St S
Wilson, NC 27893-4916
Phone
(252) 243-4450
Fax
(252) 243-3077
NPI assigned
Dec 4, 2006
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. Debbie Morris
Title
VP - Operations
Phone
(252) 243-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MHL-098-106 NC Primary

Addresses

Primary practice location

316 Douglas St S
Wilson, NC 27893-4916

Mailing address

316 Douglas St S
Wilson, NC 27893-4916
Phone (252) 243-4450

Other identifiers 1

IdentifierTypeStateIssuer
8300879MedicaidNC

Other names 1

  • New Opportunities Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407914682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 DOUGLAS ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934916",
            "telephone_number": "252-243-4450",
            "fax_number": "252-243-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 DOUGLAS ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934916",
            "telephone_number": "252-243-4450",
            "fax_number": "252-243-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON COUNTY ALTERNATIVE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "VP - OPERATIONS",
        "authorized_official_telephone_number": "252-243-4450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-098-106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Opportunities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilson, 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.