NPIMap

Organization Active NPI

Albemarle Regional Health Services

  • State or Local Public Health Clinic/Center
  • Elizabeth City, NC
National Provider Identifier
1659468130
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
ALBEMARLE REGIONAL HEALTH SERVICES
Practice address
711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone
(252) 338-4404
NPI assigned
Oct 6, 2006
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBEMARLE REGIONAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Mrs. Ashley Stoop, MPH
Title
Health Director
Phone
(252) 338-4491

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Migrant Health Clinic/Center 261QM1000X
Medical Specialty Clinic/Center 261QM2500X
State or Local Public Health Clinic/Center 261QP0905X Primary
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X 34D0668425 NC
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

711 Roanoke Ave
Elizabeth City, NC 27909-5643

Mailing address

PO Box 189
Elizabeth City, NC 27907-0189

Other practice location 1

2795 Caratoke Hwy
Currituck, NC 27929-9609
Phone (252) 232-2271

Other practice location 2

828 Academy St S
Ahoskie, NC 27910-3263
Phone (252) 862-4054

Other identifiers 4

IdentifierTypeStateIssuer
8907068MedicaidNC
34D0668425OtherNCCLIA
3404408MedicaidNC
34D2241744OtherNCCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040812001288 NC Part B Supplier - Clinic/Group Practice 1759354350 Receives reassigned benefits from 28 practitioners
Practice locations: Windsor, NC; Hertford, NC; Gates, NC; Elizabeth City, NC; Edenton, NC; Currituck, NC; Camden, NC
O20241011003488 NC MDPP Supplier - in-Person MDPP Supplier 1759354350 1 other NPI on this enrollment
Practice locations: Elizabeth City, NC; Hertford, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2318196Albemarle Regional Health Services828 South Academy Street, Ahoskie, NC 27910Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory
Part of
Albemarle Regional Heal

Locations

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1659468130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279070189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095643",
            "telephone_number": "252-338-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2795 Caratoke Hwy",
            "address_purpose": "LOCATION",
            "city": "Currituck",
            "state": "NC",
            "postal_code": "279299609",
            "country_code": "US",
            "telephone_number": "252-232-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "828 Academy St S",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279103263",
            "country_code": "US",
            "telephone_number": "252-862-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALBEMARLE REGIONAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBEMARLE REGIONAL HEALTH SERVICES",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "STOOP",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-338-4491",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0668425",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907068",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D0668425",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404408",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D2241744",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.