FIELDS FOUNDATION NPI 1578753539

NPI Information

NPI: 1578753539
Provider Name: FIELDS FOUNDATION
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
9400 US HIGHWAY 17
POLLOCKSVILLE, NC
ZIP 28573
Phone: (252) 224-0150
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FIELDS FOUNDATION is a residential treatment facility emotionally disturbed children in Pollocksville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FIELDS FOUNDATION NPI is 1578753539. The provider is registered as an organization entity type.

The provider's business location address is:

9400 US HIGHWAY 17
POLLOCKSVILLE, NC
ZIP 28573-490
Phone: (252) 224-0150

The provider's authorized official is Gerald Kent Fields .
The authorized official title is Owner and has the following contact phone number (252) 224-0150.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-052-014	NORTH CAROLINA	No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL-052-014	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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