STATEWIDE MENTAL HEALTH & DISABILITY SERVICES, PLLC - NPI 1427476167

Q: What is Statewide Mental Health & Disability Services, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

On this page

About Statewide Mental Health & Disability Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATEWIDE MENTAL HEALTH & DISABILITY SERVICES, PLLC (NPI 1427476167) is a healthcare organization registered as a family medicine in Hollister, North Carolina and active in the NPI registry since March 2014. The organization lists Kristin Clayton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427476167

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSTATEWIDE MENTAL HEALTH & DISABILITY SERVICES, PLLC

Location Address64 KNIGHT RDHollister, NC 27844-9791

Mailing Address730 Roanoke Avenue, Suite A-1Roanoke Rapids, NC 27870-2740 · (252) 308-1247

Phone(252) 308-1247

Fax(252) 308-1248

Organization SubpartNo

Authorized OfficialKristin ClaytonCeo · (252) 308-1247

Enumeration DateMarch 31, 2014

Last NPPES UpdateJuly 31, 2017

✔ NPI 1427476167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 34782

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

64 KNIGHT RD, Hollister, NC 27844

Open in Google Maps ↗

Other Identifiers 1

Medicaid6003794NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Statewide Mental Health & Disability Services, PLLC's NPI number?

The NPI number for Statewide Mental Health & Disability Services, PLLC is 1427476167. It was assigned to this organization in the NPPES registry on March 31, 2014.

Where is Statewide Mental Health & Disability Services, PLLC located?

Statewide Mental Health & Disability Services, PLLC is located at 64 Knight Rd, Hollister, NC 27844. The listed phone number is (252) 308-1247.

What is Statewide Mental Health & Disability Services, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Statewide Mental Health & Disability Services, PLLC was last updated on July 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.