NPIMap

Organization Active NPI

W.E.B. Dubois Community Development Corporation

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1689817470
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
W.E.B. DUBOIS COMMUNITY DEVELOPMENT CORPORATION
Practice address
150 N White St Ste a
Wake Forest, NC 27587-2600
Phone
(919) 556-0709
Fax
(919) 556-5160
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Mrs. Bettie E Murchison
Title
Chief Executive Officer
Phone
(919) 556-0709

Specialties & licenses 1

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

Addresses

Primary practice location

150 N White St Ste a
Wake Forest, NC 27587-2600

Mailing address

150 N White St Ste a
Wake Forest, NC 27587-2600
Phone (919) 556-0709

Other identifiers 1

IdentifierTypeStateIssuer
8300637MedicaidNC

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1689817470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N WHITE ST STE A",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872600",
            "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": "150 N WHITE ST STE A",
            "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 COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "MURCHISON",
        "authorized_official_first_name": "BETTIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-556-0709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300637",
            "state": "NC"
        }
    ],
    "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 Apr 9, 2009; 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.