NPIMap

Organization Active NPI

W E B Dubois CDC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1649369174
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
W E B DUBOIS CDC
Practice address
150A North White Street
Wake Forest, NC 27587-2600
Phone
(919) 556-0709
Fax
(919) 556-5160
NPI assigned
Oct 12, 2006
Reactivated
Aug 13, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Alice M Williams
Title
Credentialing Coordinator
Phone
(252) 915-0122

Specialties & licenses 1

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

Addresses

Primary practice location

150A North White Street
Wake Forest, NC 27587-2600

Mailing address

Post Office Box 1828
Wake Forest, NC 27588-1828
Phone (919) 556-0709

National Provider Directory

National Provider Directory
Tax ID family
W E B Dubois CDC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

150A N White St
Wake Forest, NC 27587
Phone (919) 556-0709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1649369174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 1828",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881828",
            "telephone_number": "919-556-0709",
            "fax_number": "919-556-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150A NORTH WHITE STREET",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872600",
            "telephone_number": "919-556-0709",
            "fax_number": "919-556-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W E B DUBOIS CDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-08-13",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "252-915-0122"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.