Active NPI
Durham Exchange Club Industries
- Developmentally Disabled Services Day Training Agency
- Durham, NC
National Provider Identifier
1982767513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- MHL-032-379
- Legal business name
- DURHAM EXCHANGE CLUB INDUSTRIES
- Practice address
- 1717 E Lawson St
Durham, NC 27703-5025 - Phone
- (919) 596-1341
- Fax
- (919) 596-6380
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Summey, CPA
- Title
- Controller
- Phone
- (919) 596-1341
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-032-379 | NC | Primary |
Addresses
Primary practice location
1717 E Lawson St
Durham, NC 27703-5025
Mailing address
1717 E Lawson St
Durham, NC 27703-5025
Phone (919) 596-1341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418222 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1717 E Lawson St
Durham, NC 27703
Phone (919) 596-1341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982767513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 E LAWSON ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035025",
"telephone_number": "919-596-1341",
"fax_number": "919-596-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 E LAWSON ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035025",
"telephone_number": "919-596-1341",
"fax_number": "919-596-6380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURHAM EXCHANGE CLUB INDUSTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUMMEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "919-596-1341",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "MHL-032-379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418222",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Durham Dermatology
- Durham Diagnostic Imaging LLC
- Durham Diagnostic Imaging LLC
- Durham Diagnostic Imaging LLC
- Durham Emergency Physicians, PA
- Durham Family Chiropractic P.C.
- Durham Gastroenterology Consultants PA
- Durham Healthcare LLC
- Durham Internal Medicine Associates, P.a.
- Durham Lifestyle Management LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.