Organization Active NPI

Rockingham County Healthcare Alliance

  • Family Medicine Physician
  • Eden, NC
National Provider Identifier
1083080147
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 12, 2015

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.