Organization Active NPI

Stanly Medical Services

Doing business as Richfield Medical Services

  • Family Medicine Physician
  • Richfield, NC
National Provider Identifier
1073594115
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STANLY MEDICAL SERVICES
Doing business as
Richfield Medical Services
Practice address
243 Highway 49 N
Richfield, NC 28137-5731
Phone
(704) 463-5003
Fax
(704) 463-1976
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Marindy Bost Harris
Title
Manager Revenue Cycle
Phone
(704) 983-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

243 Highway 49 N
Richfield, NC 28137-5731

Mailing address

320 Yadkin St
Ste B
Albemarle, NC 28001-3447
Phone (704) 983-7320

Other identifiers 2

IdentifierTypeStateIssuer
890280VMedicaidNC
0280VOtherNCBCBS

Other names 1

  • Richfield Medical Services Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

16455 Statesville Rd
Ste 400
Huntersville, NC 28078
Phone (701) 801-2130

269 S Main St
Norwood, NC 28128
Phone (704) 474-3171

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1073594115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "address_2": "STE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-983-7320",
            "fax_number": "704-983-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 HIGHWAY 49 N",
            "city": "RICHFIELD",
            "state": "NC",
            "postal_code": "281375731",
            "telephone_number": "704-463-5003",
            "fax_number": "704-463-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARINDY",
        "authorized_official_middle_name": "BOST",
        "authorized_official_title_or_position": "MANAGER REVENUE CYCLE",
        "authorized_official_telephone_number": "704-983-7320"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890280V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0280V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richfield Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.