Organization Active NPI

Lifequest, Inc.

  • Adult Mental Health Clinic/Center
  • Washington, NC
National Provider Identifier
1760548671
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MHL-007-038 Issued in NC
Legal business name
LIFEQUEST, INC.
Practice address
230 E 8TH St
Washington, NC 27889-4526
Phone
(252) 975-8080
Fax
(252) 975-8055
NPI assigned
Dec 28, 2006
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mrs. Angela C Hardison
Title
Director
Phone
(252) 975-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MHL-007-038 NC Primary

Addresses

Primary practice location

230 E 8TH St
Washington, NC 27889-4526

Mailing address

230 E 8TH St
Washington, NC 27889-4526
Phone (252) 975-8080

Other identifiers 2

IdentifierTypeStateIssuer
8300757MedicaidNC
8300757SMedicaidNC

National Provider Directory

National Provider Directory

Locations

230 E 8th St
Washington, NC 27889
Phone (252) 975-8080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1760548671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 8TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894526",
            "telephone_number": "252-975-8080",
            "fax_number": "252-975-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 8TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894526",
            "telephone_number": "252-975-8080",
            "fax_number": "252-975-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-975-8080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "MHL-007-038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300757",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300757S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.