Provider Demographics
NPI:1912049255
Name:ALTERNATIVE CARE TREATMENT SYSTEMS, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE CARE TREATMENT SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDGEPETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-522-9611
Mailing Address - Street 1:PO BOX 1261
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-1261
Mailing Address - Country:US
Mailing Address - Phone:252-522-9611
Mailing Address - Fax:252-520-9601
Practice Address - Street 1:119 ORANGE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3347
Practice Address - Country:US
Practice Address - Phone:919-683-9163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301597VOtherMEDICAID COMMUNITY SUPPORT TEAM
NC019EUOtherBCBS
NC8301597BOtherMEDICAID CSS ATTENDING
NC6006014OtherMEDICAID MULTI-SPECIALITY GROUP
NC8301597OtherMEDICAID CIS GROUP
8301597GOtherMEDICAID DA ATTENDING
NC5905784OtherMEDICAID PHYSICIAN GROUP
NC8301597HOtherMEDICAID IIH ATTENDING
232028Medicare PIN