NPIMap

Organization Active NPI

Coordinated Health Services, Inc.

  • Community/Behavioral Health Agency
  • Kinston, NC
National Provider Identifier
1508939885
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COORDINATED HEALTH SERVICES, INC.
Practice address
600 Plaza Blvd Ste a
Kinston, NC 28501-1600
Phone
(252) 527-0895
Fax
(252) 527-1246
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Ms. Robin K Enterkin, M.A.
Title
Quality Assurance
Phone
(919) 465-0910

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

600 Plaza Blvd Ste a
Kinston, NC 28501-1600

Mailing address

1224 Copeland Oaks Dr
Morrisville, NC 27560-6614
Phone (919) 465-0910

Other identifiers 5

IdentifierTypeStateIssuer
8300490BMedicaidNC
8300490SMedicaidNC
8300490GMedicaidNC
8300490MedicaidNC
8300490HMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Coordinated Health Services Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

600 Plaza Blvd
Ste A
Kinston, NC 28501
Phone (252) 520-6740

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1508939885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 COPELAND OAKS DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606614",
            "telephone_number": "919-465-0910",
            "fax_number": "919-465-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLAZA BLVD STE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011600",
            "telephone_number": "252-527-0895",
            "fax_number": "252-527-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "ENTERKIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "QUALITY ASSURANCE",
        "authorized_official_telephone_number": "919-465-0910",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300490B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300490S",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300490G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300490",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300490H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.