NPIMap

Organization Active NPI

Lifebrite Hospital Group of Stokes, LLC

Doing business as LifeBrite Community Hospital of Stokes

  • Critical Access Hospital
  • Danbury, NC
National Provider Identifier
1104369073
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
LIFEBRITE HOSPITAL GROUP OF STOKES, LLC
Doing business as
LifeBrite Community Hospital of Stokes
Practice address
1570 NC 8 and 89 Hwy N
Danbury, NC 27016-7360
Phone
(336) 593-5311
Fax
(336) 593-5350
NPI assigned
Nov 28, 2016
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Mr. Christian Fletcher
Title
Ceo
Phone
(336) 593-5311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary
Certified Registered Nurse Anesthetist 367500000X NU

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) 593-5311

Other identifiers 2

IdentifierTypeStateIssuer
341317OtherNCPTAN
H0165OtherNCHOSPITAL LICENSURE

Other names 1

  • LifeBrite Community Hospital of Stokes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170220001211 NC Part B Supplier - Clinic/Group Practice 8921380759 Receives reassigned benefits from 29 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: King, NC; Pine Hall, NC; Danbury, NC

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1104369073",
    "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": "336-593-5311",
            "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": "336-593-5311",
            "fax_number": "336-593-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRITE HOSPITAL GROUP OF STOKES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-593-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "341317",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSURE",
            "identifier": "H0165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeBrite Community Hospital of Stokes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.