1437167673 NPI number — MCLEOD CENTERS FOR WELLBEING

Table of content: IVETTE ZUBIATE (NPI 1528481918)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437167673 NPI number — MCLEOD CENTERS FOR WELLBEING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCLEOD CENTERS FOR WELLBEING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437167673
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 ARCHDALE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28217-4217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-332-9001
Provider Business Mailing Address Fax Number:
704-332-0124

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 ARCHDALE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28217-4217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-332-9001
Provider Business Practice Location Address Fax Number:
704-332-0124
Provider Enumeration Date:
08/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CHILDERS
Authorized Official First Name:
MARSHA
Authorized Official Middle Name:
B
Authorized Official Title or Position:
DIRECTOR OF REVENUE CYCLE MANAGEMEN
Authorized Official Telephone Number:
704-332-9001

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  MHL-060-010 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: MHL-060-880 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: MHL-036-100 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: MHL-018-057 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: MHL-095-036 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: MHL-059-024 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: MHL-049-101 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 1208 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 1209 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: MHL-060-1206 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8300412 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300666 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301345 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300516 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301102 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8301309 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com