Active NPI
Metro Integrated Alliance
- Case Management Agency
- Concord, NC
National Provider Identifier
1639217565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- METRO INTEGRATED ALLIANCE
- Practice address
- 1 Buffalo Ave NW
Suite 1103
Concord, NC 28025-4417 - Phone
- (704) 707-3888
- Fax
- (704) 707-3916
- NPI assigned
- Feb 2, 2007
- 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
- Jacqueline Patterson
- Title
- Executive Director
- Phone
- (704) 707-3888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1 Buffalo Ave NW
Suite 1103
Concord, NC 28025-4417
Mailing address
PO Box 5442
Concord, NC 28027-1507
Phone (704) 707-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700461 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1 Buffalo Ave NW
Ste 1103
Concord, NC 28025
Phone (704) 707-3888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639217565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5442",
"city": "CONCORD",
"state": "NC",
"postal_code": "280271507",
"telephone_number": "704-707-3888",
"fax_number": "704-707-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BUFFALO AVE NW",
"address_2": "SUITE 1103",
"city": "CONCORD",
"state": "NC",
"postal_code": "280254417",
"telephone_number": "704-707-3888",
"fax_number": "704-707-3916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO INTEGRATED ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-707-3888"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8700461",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, 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.