Active NPI
Harbor Health LLC
- Community/Behavioral Health Agency
- Washington, NC
National Provider Identifier
1538304373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HARBOR HEALTH LLC
- Practice address
- 1724 Carolina Ave
Washington, NC 27889-3315 - Phone
- (252) 945-3383
- NPI assigned
- Dec 9, 2008
- Last updated
- May 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Harrup
- Title
- President
- Phone
- (252) 945-3383
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | MHL-007-070 | NC | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1724 Carolina Ave
Washington, NC 27889-3315
Mailing address
1724 Carolina Ave
Washington, NC 27889-3315
Phone (252) 945-3383
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1538304373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 CAROLINA AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893315",
"telephone_number": "252-945-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 CAROLINA AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893315",
"telephone_number": "252-945-3383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-09",
"last_updated": "2009-05-06",
"status": "A",
"authorized_official_last_name": "HARRUP",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-945-3383",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NC",
"license": "MHL-007-070",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.