Active NPI
Carolina 1St Choice Treatment Facility
- Community Health Nurse Practitioner
- Raeford, NC
National Provider Identifier
1740797356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 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
National Provider Directory
National Provider Directory- Tax ID family
- Carolina 1St Choice Treatment Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Raeford, NC
- NPI 1699282509
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
- Cape Fear Valley Health System Specialty Group, LLC
- Maria Caplan
- Caring Hearts Behavioral Services
- Chad Alan Carmichael, NRP
- Carolina 1St Choice Treatment Facility
- Carolina Blue Care Services
- Carolina Eye Associates Inc
- Carolina Foot and Medical Care
- Carolina Healthcare Network, LLC
- Carolina Home Health & Hospice Care
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.