Commwellhealth

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2211 Issued in NC

Legal business name

COMMWELLHEALTH

Practice address

3331 Easy St
Dunn, NC 28334-7988

Phone

(910) 567-6194

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janet Stroughton, LCAS, CCS

Title

Vice President Behavioral Health

Phone

(910) 567-6194

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1720414808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 EASY ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283347988",
            "telephone_number": "910-567-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 EASY ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283347988",
            "telephone_number": "910-567-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMWELLHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "STROUGHTON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VICE PRESIDENT BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "910-567-6194",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YAO4008",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Collins, NCLMBT #9264
• Winter Collins, RN
• Janet Maria Colon
• Community Helps Network LLC
• Community Service Network, Inc
• Andrea Compton, M.A., LCMHCA
• Caroline Cook
• Adrianne Beth Cool
• Vidette V Cooper, MD
• Core Family Care Inc.

• Health Maintenance Organization in Dunn, NC
• Providers in Dunn, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.