NPIMap

Organization Active NPI

Foothills Mental Health Detox

  • Substance Abuse Rehabilitation Facility
  • Morganton, NC
National Provider Identifier
1942320023
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FOOTHILLS MENTAL HEALTH DETOX
Practice address
115 Wamsutta Mill Rd
Morganton, NC 28655-5552
Phone
(828) 430-7148
NPI assigned
Mar 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Marianne Keller
Title
Reimbursement Supervisor
Phone
(828) 430-7148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

115 Wamsutta Mill Rd
Morganton, NC 28655-5552

Mailing address

2130 NC 18 US 64
Morganton, NC 28655-9373
Phone (828) 430-7148

Other identifiers 1

IdentifierTypeStateIssuer
8301641MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Foothills Area Program9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1942320023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 NC 18 US 64",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559373",
            "telephone_number": "828-430-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WAMSUTTA MILL RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555552",
            "telephone_number": "828-430-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS MENTAL HEALTH DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "REIMBURSEMENT SUPERVISOR",
        "authorized_official_telephone_number": "828-430-7148"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301641",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.