Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
OCTOBER ROAD INC.
Active
Organization
OCTOBER ROAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON HENDRICKS (CHIEF EXECUTIVE OFFICER)
(814) 940-0407
Entity
Organization
Contact information
Practice address
119 TUNNEL RD STE B, ASHEVILLE, NC 28805-1800
(828) 350-1000
(828) 350-1300
Mailing address
119 TUNNEL RD, SUITE D, ASHEVILLE, NC 28805-1869
(828) 350-1000
(828) 350-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MLH-011-272
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410004
—
NC
05
—
5905845
—
NC
05
—
6006159
—
NC
05
—
8305312
—
NC
05
—
8703016
—
NC
01
—
MHL-011-272
NC DHSR
—
Enumeration date
01/24/2007
Last updated
04/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up