NPI Code Detail JSON Logo

1356287395 NPI number — RICHMOND COUNTY COALITION FOR JUSTICE AND BLACK EMPOWERMENT

NPI Number: 1356287395
Health Care Provider/Practitioner: RICHMOND COUNTY COALITION FOR JUSTICE AND BLACK EMPOWERMENT

Information about “1356287395” NPI (RICHMOND COUNTY COALITION FOR JUSTICE AND BLACK EMPOWERMENT) exists in 1356287395 in HTML format HTML  |  1356287395 in plain Text format TXT  |  1356287395 in PDF (Portable Document Format) PDF  |  1356287395 in an XML format XML  formats.

NPI Number : 1356287395 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356287395",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RICHMOND COUNTY COALITION FOR JUSTICE AND BLACK EMPOWERMENT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 272",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKINGHAM",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28380-0272",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "472-265-4350",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "643 US HIGHWAY 1 S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKINGHAM",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28379-8987",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "472-265-4350",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/23/2026",
    "LastUpdateDate": "04/23/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "INGRAM",
    "AuthorizedOfficialFirstName": "SHAUN",
    "AuthorizedOfficialMiddleName": "GRADY",
    "AuthorizedOfficialTitle": "OWNER/MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "472-265-4350",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "347C00000X",
          "TaxonomyName": "Private Vehicle",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "342000000X",
          "TaxonomyName": "Transportation Network Company",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "347E00000X",
          "TaxonomyName": "Transportation Broker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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