NPIMap

Organization Active NPI

St. Lukes Hospital Inc.

  • Critical Access Hospital
  • Columbus, NC
National Provider Identifier
1306035829
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H0079 Issued in NC
Legal business name
ST. LUKES HOSPITAL INC.
Practice address
101 Hospital Dr
Columbus, NC 28722-6418
Phone
(828) 894-3311
Fax
(828) 894-2155
NPI assigned
Oct 22, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Charles Cameron Highsmith
Title
Ceo and President
Phone
(828) 894-3311

Other NPIs on the same Medicare enrollment 1

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

Corporate family (same tax ID) 4

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 11

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040405000456 NC Part B Supplier - Clinic/Group Practice 1254324585 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Columbus, NC

National Provider Directory

National Provider Directory
Tax ID family
St Luke'S Hospital Inc (5 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H0079 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Hospital Dr
Columbus, NC 28722-6418

Mailing address

101 Hospital Dr
Columbus, NC 28722-6418
Phone (828) 894-3311

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
890765AMedicaidNC
NPA992MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2009.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1306035829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287226418",
            "telephone_number": "828-894-3311",
            "fax_number": "828-894-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287226418",
            "telephone_number": "828-894-3311",
            "fax_number": "828-894-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "HIGHSMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "828-894-3311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890765A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA992",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.