Organization Active NPI

Matchbox Health Services

  • Case Management Agency
  • Durham, NC
National Provider Identifier
1841480753
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MATCHBOX HEALTH SERVICES
Practice address
6 Consultant PL
Suite 100
Durham, NC 27707-3598
Phone
(919) 493-3434
Fax
(919) 493-4342
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Mrs. Joann H. Long, REGISTER NURSE
Title
Executive Director
Phone
(919) 493-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6 Consultant PL
Suite 100
Durham, NC 27707-3598

Mailing address

6 Consultant PL
Suite 100
Durham, NC 27707-3598
Phone (919) 493-3434

Other identifiers 1

IdentifierTypeStateIssuer
6005937MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Matchbox Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6 Consultant Pl
Ste 100
Durham, NC 27707
Phone (919) 489-0726

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1841480753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONSULTANT PL",
            "address_2": "SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073598",
            "telephone_number": "919-493-3434",
            "fax_number": "919-493-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CONSULTANT PL",
            "address_2": "SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073598",
            "telephone_number": "919-493-3434",
            "fax_number": "919-493-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCHBOX HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-493-3434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

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