Community Intervention Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY INTERVENTION CENTER, INC.

Practice address

605 Lynndale CT Ste a
Greenville, NC 27858-5449

Phone

(252) 321-7710

Fax

(252) 317-0516

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Heather St.Clair

Title

Program Director

Phone

(252) 321-7710

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Community Intervention Center Inc2 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.

• Community Intervention Center, Inc

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1518184027
  NPD tax ID

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1457584385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30196",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330196",
            "telephone_number": "252-321-7710",
            "fax_number": "252-317-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LYNNDALE CT STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585449",
            "telephone_number": "252-321-7710",
            "fax_number": "252-317-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERVENTION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "ST.CLAIR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "252-321-7710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301936",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Home Health, Inc.
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• Community Intervention Center, Inc
• Community Mobility and Services LLC
• Community Wellness Services LLC
• Compassionate Care Transportation Services
• Compassionate Companion Care LLC
• Compassionate Home Care LLC

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

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