Organization
MONARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JONES (CFO)
(704) 986-1522
Entity
Organization
Contact information
Practice address
301 SOUTHRIDGE RD, JAMESTOWN, NC 27282-8815
(336) 883-0650
Mailing address
350 PEE DEE AVE, SUITE A, ALBEMARLE, NC 28001-4945
(704) 986-1500
(704) 982-5279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
311Z00000X
Custodial Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
MHL-041-1018
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406018
—
NC
Enumeration date
07/06/2011
Last updated
03/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us