Active NPI
Albemarle Regional Health Services
- State or Local Public Health Clinic/Center
- Gates, NC
National Provider Identifier
1811084239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- ALBEMARLE REGIONAL HEALTH SERVICES
- Practice address
- 29 Medical Center Rd
Gates, NC 27937-9816 - Phone
- (252) 338-4404
- NPI assigned
- Oct 6, 2006
- Organization subpart
- Yes
- Parent organization
- ALBEMARLE REGIONAL HEALTH SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ashley Stoop, MPH
- Title
- Health Director
- Phone
- (252) 338-4491
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Dental Clinic/Center | 261QD0000X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Migrant Health Clinic/Center | 261QM1000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Clinical Medical Laboratory | 291U00000X | 34D0668425 | NC | |
| Clinic Pharmacy | 3336C0002X |
Addresses
Primary practice location
29 Medical Center Rd
Gates, NC 27937-9816
Mailing address
PO Box 189
Elizabeth City, NC 27907-0189
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404337 | Medicaid | NC | |
| 34D2241744 | Other | NC | CLIA |
| 34D0668425 | Other | NC | CLIA |
Other names 1
- Gates County Health Department
National Provider Directory
National Provider Directory- Tax ID family
- Albemarle Regional Heal
- Part of
- Albemarle Regional Heal
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Edenton, NC
- NPI 1235226630
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1245398627
-
- State or Local Public Health Clinic/Center
- Camden, NC
- NPI 1265513329
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1316021892
-
- Early Intervention Provider Agency
- Elizabeth City, NC
- NPI 1326122805
-
- Case Management Agency
- Elizabeth City, NC
- NPI 1356425839
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1467536920
-
- State or Local Public Health Clinic/Center
- Hertford, NC
- NPI 1487738951
-
- Home Infusion Agency
- Elizabeth City, NC
- NPI 1497839963
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1508940073
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1508942848
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1609950179
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Ahoskie, NC
- NPI 1861271462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1811084239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279070189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MEDICAL CENTER RD",
"city": "GATES",
"state": "NC",
"postal_code": "279379816",
"telephone_number": "252-338-4404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBEMARLE REGIONAL HEALTH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALBEMARLE REGIONAL HEALTH SERVICES",
"enumeration_date": "2006-10-06",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "STOOP",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "252-338-4491",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Migrant Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NC",
"license": "34D0668425",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404337",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "34D2241744",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "34D0668425",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gates County Health Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gates County Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gates, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.