Martin Living Corporation

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

MHL-043-090 Issued in NC

Legal business name

MARTIN LIVING CORPORATION

Practice address

61 Thomas Dickens Rd
61 Thomas Dickens Road
Lillington, NC 27546-7606

Phone

(910) 658-1254

NPI assigned

May 8, 2013

Last updated

Sep 2, 2014By 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

Miss Barbara Ann Ridgell

Title

President/Ceo

Phone

(910) 658-1254

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1790120384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2201",
            "address_2": "61 THOMAS DICKENS ROAD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275462201",
            "telephone_number": "910-658-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 THOMAS DICKENS RD",
            "address_2": "61 THOMAS DICKENS ROAD",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467606",
            "telephone_number": "910-658-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "RIDGELL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-658-1254",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NC",
            "license": "MHL-043-090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120301",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MHL043090",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043-090",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Family Planning Facility in Lillington, NC
• Providers in Lillington, NC by specialty
• Ambulatory Family Planning Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.