NPIMap

Organization Active NPI

J. Arthur Dosher Memorial Hospital

  • General Acute Care Hospital
  • Southport, NC
National Provider Identifier
1275660342
Registry record updated Feb 16, 2021
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Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0150 Issued in NC
Legal business name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Practice address
924 N Howe St
Southport, NC 28461-3038
Phone
(910) 457-3800
Fax
(910) 457-3931
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Brandon Hughes
Title
Finance Director
Phone
(910) 454-4728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0150 NC Primary

Addresses

Primary practice location

924 N Howe St
Southport, NC 28461-3038

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3800

Other identifiers 2

IdentifierTypeStateIssuer
07677OtherNCBLUE CROSS PRO FEES
8907677MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000362 NC Part B Supplier - Clinic/Group Practice 8921910324 Receives reassigned benefits from 64 practitioners
13 other NPIs on this enrollment
Practice locations: Southport, NC; Oak Island, NC; Bald Head Island, NC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory

Locations

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dosher Memorial HospitalSouthport, NC, CCN 341327 Hospital Operational/Managerial Control Nov 1, 2009
Dosher Wellness CenterSouthport, NC, CCN 343465 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1275660342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800",
            "fax_number": "910-457-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800",
            "fax_number": "910-457-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "910-454-4728"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRO FEES",
            "identifier": "07677",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907677",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.