Advanced Health Resources Inc
Organization Active NPI Community/Behavioral Health Agency · Asheboro, NC
NPI 1508924994 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508924994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVANCED HEALTH RESOURCES INC
- Practice address
- 1007 S Fayetteville St
Asheboro, NC 27203-6809 - Phone
- (336) 625-9100
- Fax
- (336) 625-2800
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Alfred Potter
- Title
- Administrator
- Phone
- (919) 465-3277
Corporate family (same tax ID) 40
National Provider Directory
- Tax ID family
- Advanced Health Resources
Locations
1007 S Fayetteville St
Asheboro, NC 27203
Phone (336) 625-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1007 S Fayetteville St
Asheboro, NC 27203-6809
Mailing address
1218 Copeland Oaks Dr
Morrisville, NC 27560-6614
Phone (919) 465-3277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300321 | Medicaid | NC |
NPI Registry JSON
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508924994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 COPELAND OAKS DR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275606614",
"telephone_number": "919-465-3277",
"fax_number": "919-465-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 S FAYETTEVILLE ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036809",
"telephone_number": "336-625-9100",
"fax_number": "336-625-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HEALTH RESOURCES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "ALFRED",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-465-3277",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300321",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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All providers in Asheboro, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.