United Providers of Health

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNITED PROVIDERS OF HEALTH

Practice address

108 E Andrews St
Bethel, NC 27812-7100

Phone

(919) 701-6603

NPI assigned

Jun 14, 2022

Last updated

Feb 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Mayo

Title

Managing Partner

Phone

(919) 400-0718

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Bethel Pharmacy, LLC

  • Pharmacy
  • Bethel, NC
  • NPI 1417720632

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1518697341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 STRICKLAND RD # 103-189",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151902",
            "telephone_number": "919-701-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E ANDREWS ST",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278127100",
            "telephone_number": "919-701-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PROVIDERS OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-400-0718"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PWP Medical Inc (Bethel Pharmacy)
• Richard P Rawl, MD
• Ray of Hope Incorporated
• Joseph Roy Smith II, DDS
• Tina Marie Staton

• Clinical Medical Laboratory in Bethel, NC
• Providers in Bethel, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.