Active NPI
Community Innovations Inc
- Community/Behavioral Health Agency
- Lumberton, NC
National Provider Identifier
1477845873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL078270
- Legal business name
- COMMUNITY INNOVATIONS INC
- Practice address
- 328 E 24TH St
Lumberton, NC 28358-3102 - Phone
- (910) 737-6440
- Fax
- (910) 737-6499
- NPI assigned
- May 4, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Andy Anderson
- Title
- President
- Phone
- (910) 739-8849
Corporate family (same tax ID) 47
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National Provider Directory
National Provider Directory- Tax ID family
- Community Innovations
Locations
328 E 24th St
Lumberton, NC 28358
Phone (910) 737-6440
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL078270 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
328 E 24TH St
Lumberton, NC 28358-3102
Mailing address
3210 Fairhill Dr
Raleigh, NC 27612-3215
Phone (919) 256-0824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2011.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304467200000",
"number": "1477845873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 FAIRHILL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123215",
"telephone_number": "919-256-0824",
"fax_number": "919-256-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 E 24TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583102",
"telephone_number": "910-737-6440",
"fax_number": "910-737-6499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY INNOVATIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-04",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-739-8849"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL078270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.