Morehead Memorial Hospital
Organization Active NPI Emergency Medical Services (Emergency Medicine) Physician · Mayodan, NC
NPI 1194153569 · NPPES record last updated Oct 23, 2013
Key facts
- NPI
- 1194153569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- Legal business name
- MOREHEAD MEMORIAL HOSPITAL
- Practice address
- 6701B NC Hwy 135
Mayodan, NC 27027-8487 - Phone
- (336) 623-9711
- NPI assigned
- Oct 23, 2013
- Organization subpart
- No
Authorized official
- Name
- Janet Woodall
- Title
- Cbo Group Practice Manager
- Phone
- (336) 623-9711
Other NPIs on the same Medicare enrollment 16
Practitioners 33
-
Cynthia P. Butler, D.O.
-
Faera Byerly, MD
-
Reginald Cathey, MD
-
Vincent Kilmer Cheek, M.D.
-
Thomas A Cornett, M.D.
-
Kelly B Erskine, NP
-
Susan Blair Hill, FNP
-
Mark Saunders Jordan, M.D.
-
John Li, M.D.
-
Liliana Pantea, M.D.
-
James B Parsons, M.D.
-
Armando Ramirez Jr., M.D.
-
Allison Nicole Williams, PA-C
-
Eric M Wilson, MD
-
Boris M Darovsky, MD
-
Fawzia Salahuddin, MD, MHS-CL, FACP.
-
Candace Angelena Bradley, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727001498 | NC | Part B Supplier - Clinic/Group Practice | 6204806342 |
Receives reassigned benefits from 25 practitioners 16 other NPIs on this enrollment Practice locations: Eden, NC; Mayodan, NC |
National Provider Directory
Locations
515 Thompson St
Ste D
Eden, NC 27288
Phone (336) 627-5178
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | Yes |
Addresses
Primary practice location
6701B NC Hwy 135
Mayodan, NC 27027-8487
Mailing address
PO Box 488
Eden, NC 27289-0488
Phone (336) 627-0362
Other names
- Morehead Urgent Care-West
Other providers in Mayodan, NC
- Pamela D. Love
- Malrie E. Johnson DDS. PA.
- Davina D Manuel
- Maureen E Burns
- Joshua Lee Moore
- Kristen Noonkester
- North Point Partners LLC
- William Jerome Oxford
- Kathryn Thompson Pace
- Positive Pathways LLC
All providers in Mayodan, NC · Emergency Medical Services (Emergency Medicine) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.