Organization Active NPI

Carolinaeast Medical Center

Doing business as Crossroads Mental Health

  • Psychiatric Hospital Unit
  • New Bern, NC
National Provider Identifier
1609833201
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0201 Issued in NC
Legal business name
CAROLINAEAST MEDICAL CENTER
Doing business as
Crossroads Mental Health
Practice address
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone
(252) 633-8640
Fax
(252) 636-5376
NPI assigned
Apr 27, 2006
Last updated
Oct 11, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINAEAST HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Authorized official

Name
Mrs. Tammy M. Sherron
Title
Cfo, VP Finance
Phone
(252) 633-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0201 NC Primary

Addresses

Primary practice location

2000 Neuse Blvd
New Bern, NC 28560-3449

Mailing address

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8640

Other identifiers 2

IdentifierTypeStateIssuer
3400131SMedicaidNC
00133OtherNCNC BLUE CROSS

Other names 1

  • Crossroads Mental Health Doing business as

National Provider Directory

National Provider Directory
Part of
Craven Regional Medical

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1609833201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-633-8640",
            "fax_number": "252-636-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-633-8640",
            "fax_number": "252-636-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAEAST MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAEAST HEALTH SYSTEM",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "SHERRON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO, VP FINANCE",
        "authorized_official_telephone_number": "252-633-8880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NC",
            "license": "H0201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400131S",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS",
            "identifier": "00133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.