SANDHILLS CENTER FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUB (NPI# 1467603910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467603910 |
| Entity Type | Organization |
| Organization Name | SANDHILLS CENTER FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUB |
| Practice Address |
205 Balfour Dr Archdale NC 27263-3117 |
| Mailing Address |
Po Box 9 West End NC 27376-0009 |
| Practice Telephone | 3364310700 |
| Practice Fax Number | 3364310762 |
| Mailing Telephone | 9106739111 |
| Mailing Fax Number | 9106736202 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-12-11 |
| Authorized Official Name | TOMMY E. SCOTT (CFO) |
| Authorized Official Telephone | 9106739111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912158643 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Clinic/Center | 1116 Seven Lakes Drive, West End, NC 27376-0009 | 2008-09-30 |
| 1386814069 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Clinic/Center | 204 E Academy St, Asheboro, NC 27203-5709 | 2008-03-10 |
| 1477573897 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 5841 Us 421 South, Buies Creek, NC 27506 | 2006-07-20 |
| 1568482982 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 205 Memorial Drive, Pinehurst, NC 28370 | 2006-07-20 |
| 1659398444 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 1120 7 Lks N, West End, NC 27376-9756 | 2006-07-16 |
| 1497772271 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2006-07-16 |
| 1073530853 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2006-07-16 |
| 1336178524 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 704 Old Lilesville Rd, Wadesboro, NC 28170-2820 | 2006-07-01 |
| 1811148364 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Clinic/Center | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2008-10-02 |
| 1730330283 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Clinic/Center | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2008-10-02 |
| Street Address |
205 BALFOUR DR |
| City | ARCHDALE |
| State | NC |
| Zip Code | 27263-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245261163 | Thomas Gresalfi | Psychiatry & Neurology | 205 Balfour Dr, Archdale, NC 27203-6760 | 2006-07-06 |
| 1922649516 | Diana Bernice Muth Cooper | Nurse Practitioner | 205 Balfour Dr, Archdale, NC 27263-3117 | 2019-10-04 |
| 1407416936 | Brionna Datrese Harpe | Social Worker | 205 Balfour Dr, Archdale, NC 27263-3117 | 2019-06-17 |
| 1457865560 | Candice B Dixon | Counselor | 205 Balfour Dr, Archdale, NC 27263-3117 | 2017-11-28 |
| 1043606460 | Courtney Tuckfield Gill | Counselor | 205 Balfour Dr, Archdale, NC 27263-3117 | 2015-04-13 |
| 1821420019 | Mark Andrew Daly | Registered Nurse | 205 Balfour Dr, Archdale, NC 27263-3117 | 2013-07-30 |
| 1942503222 | Charles R. Absher10 | Counselor | 205 Balfour Dr, Archdale, NC 27263-3117 | 2010-12-08 |
| 1487975165 | Brenda S Blackwell | Counselor | 205 Balfour Dr, Archdale, NC 27263-3117 | 2010-06-17 |
| 1437487253 | Ashley Latrice Fowler | Counselor | 205 Balfour Dr, Archdale, NC 27263-3117 | 2009-12-07 |
| 1356579239 | Daymark Recovery Services Inc | Psychiatry & Neurology | 205 Balfour Dr, Archdale, NC 27263-3117 | 2009-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635725 | Home Care Premier Services, LLC | In Home Supportive Care | 10948e N. Main St, Archdale, NC 27263 | 2019-02-14 |
| 1740667807 | One Care Nc Inc | Home Health | 104418 North Main St, Archdale, NC 27263 | 2015-04-28 |
| 1720327968 | The Heag Pain Management Center Pa | Anesthesiology | 106 Baker Road, Archdale, NC 27263 | 2013-02-07 |
| 1548528177 | Christine Marie Enderlin | Counselor | 5373 Johnson Street, Archdale, NC 27263 | 2012-05-02 |
| 1922382654 | David Alan Rappaport | Pharmacist | 2850 South Main Street, Suite 101, High Point, NC 27263 | 2011-09-29 |
| 1508190430 | Carolina Drug of Randolph County LLC | Pharmacy | 10102 Unit S, South Main Street, Archdale, NC 27263 | 2009-09-24 |
| 1003064528 | Kenny Clinic of Chiropractic, P.a. | Chiropractor | 2400 S. Main St., High Point, NC 27263 | 2008-09-09 |
| 1689750234 | John David Ellington | Dentist | 3203 Archdale Rd, Archdale, NC 27263 | 2006-10-27 |
| 1831270214 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2628 S. Main Street, High Point, NC 27263 | 2006-10-18 |
| 1639262488 | Earnst Clinic Inc | Chiropractor | 231 Baker Road, High Point, NC 27263 | 2006-10-02 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.