NPIMap

Organization Active NPI

Northern Hospital of Surry County

  • Durable Medical Equipment & Medical Supplies
  • Mount Airy, NC
National Provider Identifier
1154329662
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
H0184 Issued in NC
Legal business name
NORTHERN HOSPITAL OF SURRY COUNTY
Practice address
830 Rockford St
Mount Airy, NC 27030-5322
Phone
(336) 719-7000
Fax
(336) 719-7199
NPI assigned
Jul 8, 2005
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Robin Allen
Title
Director Central Billing
Phone
(336) 719-7129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X H0184 NC Primary

Addresses

Primary practice location

830 Rockford St
Mount Airy, NC 27030-5322

Mailing address

PO Box 1101
Mount Airy, NC 27030-1101
Phone (336) 719-7000

Other identifiers 1

IdentifierTypeStateIssuer
7704251MedicaidNC

Other names 1

  • Northern Hospital District of Surry County Other name

National Provider Directory

National Provider Directory
Tax ID family
Northern Home Care13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1154329662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301101",
            "telephone_number": "336-719-7000",
            "fax_number": "336-719-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305322",
            "telephone_number": "336-719-7000",
            "fax_number": "336-719-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOSPITAL OF SURRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR CENTRAL BILLING",
        "authorized_official_telephone_number": "336-719-7129"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "H0184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704251",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Hospital District of Surry County",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northern Hospital District of Surry County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.