NPI Code Detail JSON Logo

1588597413 NPI number — PIEDMONT HEALTH SERVICES, INC

NPI Number: 1588597413
Health Care Provider/Practitioner: PIEDMONT HEALTH SERVICES, INC

Information about “1588597413” NPI (PIEDMONT HEALTH SERVICES, INC) exists in 1588597413 in HTML format HTML  |  1588597413 in plain Text format TXT  |  1588597413 in PDF (Portable Document Format) PDF  |  1588597413 in an XML format XML  formats.

NPI Number : 1588597413 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588597413",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PIEDMONT HEALTH SERVICES, INC",
    "ParentOrgTIN": null,
    "OrgName": "PIEDMONT HEALTH SERVICES, INC",
    "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": "88 VILCOM CENTER DR STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHAPEL HILL",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27514-1660",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-369-0189",
    "MailingAddressFaxNumber": "919-933-9201",
    "FirstLinePracticeLocationAddress": "240 ST MARYS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HILLSBOROUGH",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27278-2518",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-732-9326",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/08/2026",
    "LastUpdateDate": "06/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JAIMES-COLINA",
    "AuthorizedOfficialFirstName": "DANIELLA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "407-369-0189",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QF0400X",
        "TaxonomyName": "Federally Qualified Health Center (FQHC)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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