Active NPI
Rockingham County Healthcare Alliance
- Family Medicine Physician
- Eden, NC
National Provider Identifier
1083080147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROCKINGHAM COUNTY HEALTHCARE ALLIANCE
- Practice address
- 518 S Van Buren Rd
Suite 1
Eden, NC 27288-5033 - Phone
- (336) 623-7711
- Fax
- (336) 623-7713
- NPI assigned
- Aug 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Claudia Kennon
- Title
- Practice Manager
- Phone
- (336) 623-7711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
518 S Van Buren Rd
Suite 1
Eden, NC 27288-5033
Mailing address
518 S Van Buren Rd
Suite 1
Eden, NC 27288-5033
Phone (336) 623-7711
Other names 1
- James Austin Health Center
National Provider Directory
National Provider DirectoryLocations
518 S Van Buren Rd
Ste 1
Eden, NC 27288
Phone (336) 623-1551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439337600000",
"number": "1083080147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 S VAN BUREN RD",
"address_2": "SUITE 1",
"city": "EDEN",
"state": "NC",
"postal_code": "272885033",
"telephone_number": "336-623-7711",
"fax_number": "336-623-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 S VAN BUREN RD",
"address_2": "SUITE 1",
"city": "EDEN",
"state": "NC",
"postal_code": "272885033",
"telephone_number": "336-623-7711",
"fax_number": "336-623-7713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKINGHAM COUNTY HEALTHCARE ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A",
"authorized_official_last_name": "KENNON",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "336-623-7711",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "James Austin Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.