Organization Active NPI

Carolinas Anson Healthcare Inc.

  • General Acute Care Hospital
  • Wadesboro, NC
National Provider Identifier
1265407175
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0082 Issued in NC
Legal business name
CAROLINAS ANSON HEALTHCARE INC.
Practice address
2301 US Highway 74 W
Wadesboro, NC 28170-7554
Phone
(704) 994-4500
Fax
(704) 994-4501
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Mr. John G Moore
Title
Chief Financial Officer
Phone
(704) 695-3402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1119 NC
General Acute Care Hospital 282N00000X H0082 NC Primary

Addresses

Primary practice location

2301 US Highway 74 W
Wadesboro, NC 28170-7554

Mailing address

2301 US Highway 74 W
Wadesboro, NC 28170-7554
Phone (704) 994-4500

Other identifiers 6

IdentifierTypeStateIssuer
407241MedicaidSC
3408242OtherNCCAP
0045047MedicaidNC
134684MedicaidSC
3400084MedicaidNC
NPA952MedicaidSC

Other names 1

  • Carolinas HealthCare System Anson Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1265407175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 US HIGHWAY 74 W",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281707554",
            "telephone_number": "704-994-4500",
            "fax_number": "704-994-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 US HIGHWAY 74 W",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281707554",
            "telephone_number": "704-994-4500",
            "fax_number": "704-994-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS ANSON HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "704-695-3402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1119",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407241",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "3408242",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045047",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134684",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400084",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas HealthCare System Anson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.