NPIMap

Organization Active NPI

Port Health Services

  • Community/Behavioral Health Agency
  • New Bern, NC
National Provider Identifier
1982754370
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-025-041 Issued in NC
Legal business name
PORT HEALTH SERVICES
Practice address
417 E Grantham Rd
New Bern, NC 28560-6881
Phone
(252) 633-6431
Fax
(252) 251-6200
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Sharon Ward Rountree
Title
Reimbursement Manger
Phone
(252) 830-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-025-041 NC Primary

Addresses

Primary practice location

417 E Grantham Rd
New Bern, NC 28560-6881

Mailing address

4300-110 Sapphire Court
Greenville, NC 27834
Phone (252) 752-0483

Other identifiers 1

IdentifierTypeStateIssuer
8300529MedicaidNC

Other names 1

  • PORT Human Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Port Health Services38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1982754370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300-110 SAPPHIRE COURT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-752-0483",
            "fax_number": "252-752-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E GRANTHAM RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606881",
            "telephone_number": "252-633-6431",
            "fax_number": "252-251-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "ROUNTREE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "REIMBURSEMENT MANGER",
        "authorized_official_telephone_number": "252-830-7540"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-025-041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300529",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORT Human Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.