Organization Active NPI

Mecklenburg County

Doing business as Mecklenburg County Health Department - MCH Case Management

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1619091709
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MECKLENBURG COUNTY
Doing business as
Mecklenburg County Health Department - MCH Case Management
Practice address
249 Billingsley Rd
Charlotte, NC 28211-1003
Phone
(704) 336-4776
Fax
(704) 336-5006
NPI assigned
Mar 16, 2007
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Earl Winters Mabry, MD
Title
Health Director
Phone
(704) 336-2299

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community Health Clinic/Center 261QC1500X NU
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

249 Billingsley Rd
Charlotte, NC 28211-1003

Mailing address

249 Billingsley Rd
Charlotte, NC 28211-1003
Phone (704) 336-4776

Other identifiers 1

IdentifierTypeStateIssuer
6005888MedicaidNC

Other names 1

  • Mecklenburg County Health Department - MCH Case Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mecklenburg County32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1619091709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111003",
            "telephone_number": "704-336-4776",
            "fax_number": "704-336-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111003",
            "telephone_number": "704-336-4776",
            "fax_number": "704-336-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "WINTERS",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "704-336-2299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005888",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mecklenburg County Health Department - MCH Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.