INTEGRATED CARE OF GREATER HICKORY, INC (NPI# 1679078836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679078836 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CARE OF GREATER HICKORY, INC |
| Practice Address |
741 5th St Sw Hickory NC 28602 |
| Mailing Address |
425 7th Ave Sw Hickory NC 28602-3237 |
| Practice Telephone | 8283225915 |
| Practice Fax Number | 8283450387 |
| Mailing Telephone | 8283225915 |
| Mailing Fax Number | 8283450387 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | MR. DOUGLAS DAVID BLAKEMAN (CHIEF ADMINISTRATION OFFICER) |
| Authorized Official Telephone | 8283225915 |
| Authorized Official Credential | RMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699268565 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092 | 2018-06-14 |
| 1184118663 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2018-06-19 |
| 1194219931 | Integrated Care of Greater Hickory, Inc | Family Medicine | 1228 N Flint St, Lincolnton, NC 28092-5239 | 2018-06-15 |
| 1235622101 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1962995837 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1366972325 | Integrated Care of Greater Hickory, Inc | Family Medicine | 350 E Parker Rd, Morganton, NC 28655 | 2017-06-13 |
| 1376600718 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602 | 2007-01-03 |
| Street Address |
741 5TH ST SW |
| City | HICKORY |
| State | NC |
| Zip Code | 28602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861655623 | Supported Living Youth, Family and Children Services, Inc. | Community/Behavioral Health | 741 5th St Sw, Suite 16, Hickory, NC 28602-3230 | 2008-07-02 |
| 1235622101 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| 1962995837 | Integrated Care of Greater Hickory, Inc | Counselor | 741 5th St Sw, Hickory, NC 28602 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1548743826 | Asheville Mountain Pharmacy Inc | Pharmacy | 1272 Tunnel Rd Ste 20, Asheville, NC 28805-2100 | 2018-09-12 |
| 1770006355 | Surry Medical Ministries Clinic | Pharmacy | 813 Rockford St, Mount Airy, NC 27030-5321 | 2017-07-25 |
| 1235514860 | Student Stores Pharmacy | Pharmacy | Cb 1530 Daniels Building, 207 South Road, Chapel Hill, NC 27599-0001 | 2015-07-24 |
| 1366863144 | Helping Hands Clinic, Inc. | Pharmacy | 810 Harper Ave Nw, Lenoir, NC 28645-5083 | 2013-12-23 |
| 1174876189 | Campbell University Health Center, LLC | Pharmacy | 129 T. T. Lanier Street, Buies Creek, NC 27506 | 2012-10-16 |
| 1942535232 | Quality Care Pharmacy of The Sandhills | Pharmacy | 1103 Seven Lakes Drive, 6541 Seven Lakes Village, West End, NC 27376-9314 | 2009-10-05 |
| 1144355116 | Forsyth County North Carolina | Pharmacy | 725 N. Highland Ave, Winston-salem, NC 27101-4299 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTEGRATED CARE OF GREATER HICKORY, INC.
| 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.