Organization Active NPI

Carolina 1St Choice Treatment Facility

  • Community Health Nurse Practitioner
  • Raeford, NC
National Provider Identifier
1740797356
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
CAROLINA 1ST CHOICE TREATMENT FACILITY
Practice address
4003 Fayetteville Rd
Raeford, NC 28376-8058
Phone
(910) 723-9103
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Angela Southerland
Title
Ceo/Executive Director
Phone
(910) 723-9103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

4003 Fayetteville Rd
Raeford, NC 28376-8058

Mailing address

635 Vass Rd
Raeford, NC 28376-8412
Phone (910) 723-9103

Other names 1

  • Carolina 1st Choice Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina 1St Choice Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1740797356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 VASS RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768412",
            "telephone_number": "910-723-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768058",
            "telephone_number": "910-723-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA 1ST CHOICE TREATMENT FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-723-9103"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina 1st Choice Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.