NPIMap

Organization Active NPI

Halifax Medical Services, Inc

Doing business as Medical Center/Clinic of Enfield

  • Rural Health Clinic/Center
  • Enfield, NC
National Provider Identifier
1144351503
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
68222 Issued in NC
Legal business name
HALIFAX MEDICAL SERVICES, INC
Doing business as
Medical Center/Clinic of Enfield
Practice address
114 Market St
Enfield, NC 27823-0339
Phone
(252) 445-2332
Fax
(252) 445-2983
NPI assigned
Mar 8, 2007
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
HALIFAX MEDICAL SERVICES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Mr. John Hume Faulkner, PA-C,MPHNPI 1871659441
Title
Physician Assistant
Phone
(252) 445-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 68222 NC Primary

Addresses

Primary practice location

114 Market St
Enfield, NC 27823-0339

Mailing address

114 Market St
PO Box 339
Enfield, NC 27823-0339
Phone (252) 445-2332

Other identifiers 1

IdentifierTypeStateIssuer
343974A&CMedicaidNC

Other names 1

  • MEDICAL CENTER/CLINIC OF ENFIELD Doing business as

National Provider Directory

National Provider Directory
Part of
Halifax Medical Services in

Locations

9201 County Line Rd
Rocky Mount, NC 27803
Phone (252) 446-4455

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1144351503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MARKET ST",
            "address_2": "PO BOX 339",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278230339",
            "telephone_number": "252-445-2332",
            "fax_number": "252-445-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MARKET ST",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278230339",
            "telephone_number": "252-445-2332",
            "fax_number": "252-445-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX MEDICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALIFAX MEDICAL SERVICES PA",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HUME",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "252-445-2332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C,MPH"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "68222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343974A&C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER/CLINIC OF ENFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.