Healthcare Provider Details

I. General information

NPI: 1598671018
Provider Name (Legal Business Name): GROUND 40 MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 DALE ST
MONROE NC
28112-4540
US

IV. Provider business mailing address

303 DALE ST
MONROE NC
28112-4540
US

V. Phone/Fax

Practice location:
  • Phone: 206-536-7068
  • Fax: 206-536-7068
Mailing address:
  • Phone: 206-536-7068
  • Fax: 206-536-7068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER EUGENE HUNTER
Title or Position: ASSOCIATE DIRECTOR
Credential:
Phone: 206-536-7068