MECKLENBURG COUNTY AREA MH DD AND SA AUTHORITY NPI 1891882528

NPI Information

NPI: 1891882528
Provider Name: MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
429 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211
Phone: (704) 336-2023
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MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY is a public health and state or local clinic center in Charlotte, NC. MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY NPI is 1891882528. The provider is registered as an organization entity type.

The provider's business location address is:

429 BILLINGSLEY RD
CHARLOTTE, NC
ZIP 28211-007
Phone: (704) 336-2023
Fax: (704) 336-8591

The provider's authorized official is Grayce Crockett .
The authorized official title is Area Director and has the following contact phone number 704-3368638.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3404913	MEDICAID	NORTH CAROLINA
2	6005609	OTHER	NORTH CAROLINA	MULTI-SPECIALTY GROUP
3	6005610	OTHER	NORTH CAROLINA	MULTI-SPECIALTY GROUP
4	3404913M	MEDICAID	NORTH CAROLINA
5	3404913P	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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