Organization Active NPI

Amw Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
National Provider Identifier
1760528772
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMW FOUNDATION
Practice address
3209 Gresham Lake Rd
113
Raleigh, NC 27615-4151
Phone
(919) 850-2155
Fax
(919) 850-2353
NPI assigned
Jan 29, 2007
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Mr. Chet West
Title
Director of Operations
Phone
(919) 899-6740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3209 Gresham Lake Rd
113
Raleigh, NC 27615-4151

Mailing address

3209 Gresham Lake Rd
113
Raleigh, NC 27615-3757
Phone (919) 850-2155

Other identifiers 1

IdentifierTypeStateIssuer
6005692MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Amw Foundation2 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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1760528772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 GRESHAM LAKE RD",
            "address_2": "113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153757",
            "telephone_number": "919-850-2155",
            "fax_number": "919-850-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 GRESHAM LAKE RD",
            "address_2": "113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154151",
            "telephone_number": "919-850-2155",
            "fax_number": "919-850-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMW FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "919-899-6740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005692",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.