NPIMap

Organization Active NPI

Primary Care Solutions Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlotte, NC
National Provider Identifier
1699083899
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
MHL-060-1173 Issued in NC
Legal business name
PRIMARY CARE SOLUTIONS INC.
Practice address
5601 Executive Center Dr Ste 200
Charlotte, NC 28212-8841
Phone
(704) 537-1022
Fax
(704) 569-0822
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
William Bullock
Title
President
Phone
(704) 537-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MHL-060-1173 NC Primary

Addresses

Primary practice location

5601 Executive Center Dr Ste 200
Charlotte, NC 28212-8841

Mailing address

5601 Executive Center Dr Ste 200
Charlotte, NC 28212-8841
Phone (704) 537-1022

Other practice location 1

5700 Executive Center Dr
Suite 101
Charlotte, NC 28212-8858
Phone (704) 537-1022

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Solutions Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1699083899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 EXECUTIVE CENTER DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128841",
            "telephone_number": "704-537-1022",
            "fax_number": "704-569-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 EXECUTIVE CENTER DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128841",
            "telephone_number": "704-537-1022",
            "fax_number": "704-569-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Executive Center Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128858",
            "country_code": "US",
            "telephone_number": "704-537-1022",
            "fax_number": "704-569-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-537-1022"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "MHL-060-1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2017; 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.