1740345941 NPI number — FFC INSTITUTE FOR CHANGE, INC.

Table of content: (NPI 1740345941)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740345941 NPI number — FFC INSTITUTE FOR CHANGE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FFC INSTITUTE FOR CHANGE, INC.
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:
1740345941
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:
617 TODD ALY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28472-4198
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-642-7042
Provider Business Mailing Address Fax Number:
910-641-0633

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1114 MCCLARY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EVERGREEN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28438-9790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-648-6941
Provider Business Practice Location Address Fax Number:
910-648-6941
Provider Enumeration Date:
12/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CLARK
Authorized Official First Name:
FONDA
Authorized Official Middle Name:
FRINK
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
910-642-7042

Provider Taxonomy Codes

  • Taxonomy code: 322D00000X , with the licence number:  024058 , 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: 6603572 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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