NPIMap

Organization Active NPI

Southern Cross Mental Health Centers

  • Clinic/Center
  • Whiteville, NC
National Provider Identifier
1548405137
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHERN CROSS MENTAL HEALTH CENTERS
Practice address
1424 S JK Powell Blvd
Suite a & C
Whiteville, NC 28472-9167
Phone
(910) 640-2007
Fax
(910) 640-3911
NPI assigned
Dec 10, 2008
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Miss Sherry M Tabor, QP
Title
Vice President
Phone
(910) 653-2007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

1424 S JK Powell Blvd
Suite a & C
Whiteville, NC 28472-9167

Mailing address

PO Box 656
Tabor City, NC 28463-0656
Phone (910) 653-2007

National Provider Directory

National Provider Directory
Tax ID family
Southern Cross Community Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1424 S Jk Powell Blvd
Ste A
Whiteville, NC 28472
Phone (910) 640-2007

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1548405137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284630656",
            "telephone_number": "910-653-2007",
            "fax_number": "910-653-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S JK POWELL BLVD",
            "address_2": "SUITE A & C",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284729167",
            "telephone_number": "910-640-2007",
            "fax_number": "910-640-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CROSS MENTAL HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-653-2007",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.