Organization Active NPI

Alleghany County Memorial Hospital Inc

  • Critical Access Hospital
  • Sparta, NC
National Provider Identifier
1073646667
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H0108 Issued in NC
Legal business name
ALLEGHANY COUNTY MEMORIAL HOSPITAL INC
Practice address
233 Doctors St
Sparta, NC 28675-9247
Phone
(336) 372-5511
Fax
(336) 372-6563
NPI assigned
Mar 13, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Julie Tucker
Title
Controller/Compliance Officer
Phone
(336) 372-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H0108 NC Primary

Addresses

Primary practice location

233 Doctors St
Sparta, NC 28675-9247

Mailing address

233 Doctors St
Sparta, NC 28675-9247
Phone (336) 372-5511

Other identifiers 1

IdentifierTypeStateIssuer
3408375MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Alleghany Co Mem Hosp-E8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1073646667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 DOCTORS ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759247",
            "telephone_number": "336-372-5511",
            "fax_number": "336-372-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DOCTORS ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759247",
            "telephone_number": "336-372-5511",
            "fax_number": "336-372-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHANY COUNTY MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CONTROLLER/COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "336-372-3211"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.