J IVERSON RIDDLE DEVELOPMENTAL CENTER (NPI# 1386791796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386791796 |
| Entity Type | Organization |
| Organization Name | J IVERSON RIDDLE DEVELOPMENTAL CENTER |
| Other Organization Name | FAMILY, INFANT AND PRESCHOOL PROGRAM |
| Practice Address |
300 Enola Rd Morganton NC 28655-4608 |
| Practice Telephone | 8284332661 |
| Practice Fax Number | 8284386457 |
| Mailing Telephone | 8284332661 |
| Mailing Fax Number | 8284386457 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ARTHUR J ROBARGE (FACILITY DIRECTOR) |
| Authorized Official Telephone | 8284332711 |
| Authorized Official Credential | PHD,MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300103 | 05 |
| Other Name | Type Code |
|---|---|
| Family, Infant and Preschool Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194861617 | J Iverson Riddle Developmental Center | Clinic/Center | 300 Enola Road, Morgantown, NC 28655-4608 | 2007-01-30 |
| 1740340868 | J Iverson Riddle Developmental Center | Intermediate Care Facility, Mentally Retarded | 300 Enola Road, Morganton, NC 28655 | 2006-12-11 |
| Street Address |
300 ENOLA RD |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995008 | Carl Leon Edwards | Internal Medicine | 300 Enola Rd, Morganton, NC 28655-4608 | 2006-03-08 |
| 1326524554 | Rebekah Norris | Speech-Language Pathologist | 300 Enola Rd, Morganton, NC 28655-4608 | 2018-07-11 |
| 1154774610 | Jennifer James | Physical Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-07-20 |
| 1386003945 | Allison Lane | Social Worker | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-02-11 |
| 1154788347 | Danielle Gaglio | Occupational Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2016-01-20 |
| 1003217282 | Nicholas Andal | Speech-Language Pathologist | 300 Enola Rd, Morganton, NC 28655-4608 | 2014-09-08 |
| 1144630245 | Debbie H Little | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2014-04-29 |
| 1275883332 | Amy Lee | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-09-17 |
| 1871842542 | Christine Nelson | Registered Nurse | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-09-10 |
| 1013276914 | J. Iverson Developmental Center | Physical Therapist | 300 Enola Rd, Morganton, NC 28655-4608 | 2012-05-11 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1780801233 | Memory Clinic LLC | Clinic/Center | 207 Queen St, Morganton, NC 28655-3341 | 2007-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.