Active NPI
Blowing Rock Hospital
- Critical Access Hospital
- Blowing Rock, NC
National Provider Identifier
1326018649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- H0160
- Legal business name
- BLOWING ROCK HOSPITAL
- Practice address
- 418 Chestnut Cir
Blowing Rock, NC 28605-9216 - Phone
- (828) 295-3136
- NPI assigned
- Jan 26, 2006
- Last updated
- Aug 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Etta Long, RHIA-CPMSM
- Title
- Sr VP Medical Staff Services
- Phone
- (828) 262-4133
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Critical Access Hospital Clinic/Center | 261QC0050X | |||
| Emergency Care Clinic/Center | 261QE0002X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | H0160 | NC | Primary |
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
418 Chestnut Cir
Blowing Rock, NC 28605-9216
Mailing address
418 Chestnut Cir
P.P. Box 148
Blowing Rock, NC 28605-9216
Phone (828) 295-3136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3414822 | Other | NC | NCPDP NUMBER |
| 3401321 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
418 Chestnut Cir
Blowing Rock, NC 28605
Phone (828) 295-3136
418 Chestnut Cir
#148
Blowing Rock, NC 28605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377648000000",
"number": "1326018649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CHESTNUT CIR",
"address_2": "P.P. BOX 148",
"city": "BLOWING ROCK",
"state": "NC",
"postal_code": "286059216",
"telephone_number": "828-295-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 CHESTNUT CIR",
"city": "BLOWING ROCK",
"state": "NC",
"postal_code": "286059216",
"telephone_number": "828-295-3136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOWING ROCK HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2013-08-28",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ETTA",
"authorized_official_title_or_position": "SR VP MEDICAL STAFF SERVICES",
"authorized_official_telephone_number": "828-262-4133",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RHIA-CPMSM"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Critical Access Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NC",
"license": "H0160",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "3414822",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3401321",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blowing Rock, NC
- Jennifer Marie Ammerlaan, MS, OTR/L
- Appalachian Regional Medical Associates Inc (The Harriet and Charles Davant Medical Clinic at Chestnut Ridge)
- Jennifer Arquette, MS CCC-SLP
- Beacon Light Counseling, PLLC
- Christina Elisa Biddle, MS, LAT, ATC
- Blowing Rock Hospital
- Blowing Rock Hospital, Inc.
- Blowing Rock Hospital, Swing
- Blowing Rock Medical Clinic PR
- Blue Ridge Partners in Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.