ALBEMARLE REGIONAL DIABETES CARE PROGRAM – NPI #1609950179
Clinic/Center

ALBEMARLE REGIONAL DIABETES CARE PROGRAM is an AHC clinic located in ELIZABETH CITY, NC. NPPES has assigned the NPI number 1609950179 to ALBEMARLE REGIONAL DIABETES CARE PROGRAM on October 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALBEMARLE REGIONAL DIABETES CARE PROGRAM” is a dba name, the actual legal business name for this organization is ALBEMARLE REGIONAL HEALTH SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP0905X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Public Health, State or Local

The NPI profile was previously updated about 3 years ago on Apr 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALBEMARLE REGIONAL DIABETES CARE PROGRAM below.

NPI Profile for
ALBEMARLE REGIONAL HEALTH SERVICES

NPI Number
1609950179
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALBEMARLE REGIONAL HEALTH SERVICES
Doing Business As (dba): ALBEMARLE REGIONAL DIABETES CARE PROGRAM
Primary location
711 ROANOKE AVE
ELIZABETH CITY, NC 27909-5643
Phone: (252) 338-4404 Fax:
Mailing address
PO BOX 189
ELIZABETH CITY, NC 27907-0189
Phone: Fax:
Organization Subpart
Yes - ALBEMARLE REGIONAL DIABETES CARE PROGRAM is subpart of another organization.
Authorized Official
ASHLEY STOOP
HEALTH DIRECTOR
Phone: (252) 338-4404
Updated
Certification Date
Apr 18, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ALBEMARLE REGIONAL DIABETES CARE PROGRAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCLIANC34D0668425
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP0905X
- Clinic/Center / Public Health, State or Local (Primary)
261QM2500X
- Clinic/Center / Medical Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.