NPIMap

Organization Active NPI

Stokes Reynolds Memorial Hospital Inc

  • Nursing Facility/Intermediate Care Facility
  • Danbury, NC
National Provider Identifier
1043347800
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
HO165 Issued in NC
Legal business name
STOKES REYNOLDS MEMORIAL HOSPITAL INC
Practice address
1570 NC 8 and 89 Hwy N
Danbury, NC 27016-7360
Phone
(336) 593-2831
Fax
(336) 593-5350
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pamela P Tillman
Title
Chief Operating Officer
Phone
(336) 593-5314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X HO165 NC Primary

Addresses

Primary practice location

1570 NC 8 and 89 Hwy N
Danbury, NC 27016-7360

Mailing address

1570 NC 8 and 89 Hwy N
Danbury, NC 27016-7360
Phone (336) 593-2831

Other identifiers 1

IdentifierTypeStateIssuer
3416569MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Community Hospital of Stokes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1043347800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 NC 8 AND 89 HWY N",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270167360",
            "telephone_number": "336-593-2831",
            "fax_number": "336-593-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 NC 8 AND 89 HWY N",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270167360",
            "telephone_number": "336-593-2831",
            "fax_number": "336-593-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKES REYNOLDS MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-593-5314"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "HO165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416569",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.