Organization Active NPI

Durham Exchange Club Industries

  • Developmentally Disabled Services Day Training Agency
  • Durham, NC
National Provider Identifier
1982767513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
MHL-032-379 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3418222MedicaidNC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.