NPIMap

Organization Active NPI

JK2C, LLC

  • Community/Behavioral Health Agency
  • Williamston, NC
National Provider Identifier
1942862487
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JK2C, LLC
Practice address
800 Park St
Williamston, NC 27892-2769
Phone
(757) 848-3478
Fax
(252) 333-1548
NPI assigned
Jul 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Christopher Gerald Fontana, CSAC
Title
Ceo
Phone
(757) 848-3478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

800 Park St
Williamston, NC 27892-2769

Mailing address

105 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 333-1540

Other names 1

  • Williamston Treatment Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hiea.nc.gov Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
JK2C LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

105 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 337-7409

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1942862487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-333-1540",
            "fax_number": "252-333-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PARK ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922769",
            "telephone_number": "757-848-3478",
            "fax_number": "252-333-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK2C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-848-3478",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hiea.nc.gov",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Park St",
            "city": "Williamston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278922769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Williamston Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.