Organization Active NPI

Fellowship Hall, Inc.

  • Substance Abuse Rehabilitation Facility
  • Greensboro, NC
National Provider Identifier
1942499819
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
MHH001 Issued in NC
Legal business name
FELLOWSHIP HALL, INC.
Practice address
5140 Dunstan Rd
Greensboro, NC 27405-9565
Phone
(336) 621-3381
Fax
(336) 621-7513
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Mr. Mike Yow
Title
President and Ceo
Phone
(336) 621-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MHH001 NC Primary

Addresses

Primary practice location

5140 Dunstan Rd
Greensboro, NC 27405-9565

Mailing address

5140 Dunstan Rd
Greensboro, NC 27405-9565
Phone (336) 621-3381

National Provider Directory

National Provider Directory
Tax ID family
Fellowship Hall Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1942499819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 DUNSTAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059565",
            "telephone_number": "336-621-3381",
            "fax_number": "336-621-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 DUNSTAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059565",
            "telephone_number": "336-621-3381",
            "fax_number": "336-621-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HALL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "YOW",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "336-621-3381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHH001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.