NPIMap

Organization Active NPI

Ingram Health Service Manna House

  • Community/Behavioral Health Agency
  • Rowland, NC
National Provider Identifier
1619007945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INGRAM HEALTH SERVICE MANNA HOUSE
Practice address
108 S Hickory St
Rowland, NC 28383-9602
Phone
(910) 422-2273
Fax
(910) 422-9889
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Deborah Faye Ingram
Title
Ceo
Phone
(910) 422-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

108 S Hickory St
Rowland, NC 28383-9602

Mailing address

675 NC Highway 71 N
Maxton, NC 28364-8741
Phone (910) 422-2273

Other identifiers 1

IdentifierTypeStateIssuer
7804866MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Ingram Health Servicesmanna Houseinc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619007945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 NC HIGHWAY 71 N",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283648741",
            "telephone_number": "910-422-2273",
            "fax_number": "910-422-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S HICKORY ST",
            "city": "ROWLAND",
            "state": "NC",
            "postal_code": "283839602",
            "telephone_number": "910-422-2273",
            "fax_number": "910-422-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM HEALTH SERVICE MANNA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-422-2273",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804866",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.