1124224829 NPI number — ADVANCED HEALTH RESOURCES

Table of content: (NPI 1124224829)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124224829 NPI number — ADVANCED HEALTH RESOURCES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED HEALTH RESOURCES
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:
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:
1124224829
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1218 COPELAND OAKS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27560-6614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-465-3277
Provider Business Mailing Address Fax Number:
919-465-3222

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 S ESTES DR
Provider Second Line Business Practice Location Address:
SUITE 301D
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-2866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-960-2711
Provider Business Practice Location Address Fax Number:
919-960-2799
Provider Enumeration Date:
06/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
POTTER
Authorized Official First Name:
ALFIE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
919-465-3277

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 8300311G , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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