NPIMap

Organization Active NPI

Johnston Memorial Hospital Authority

Doing business as Johnston Family Care Center-Kenly

  • Rural Health Clinic/Center
  • Kenly, NC
National Provider Identifier
1336189760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JOHNSTON MEMORIAL HOSPITAL AUTHORITY
Doing business as
Johnston Family Care Center-Kenly
Practice address
400 N Englewood Dr
Kenly, NC 27542-9290
Phone
(919) 284-4149
Fax
(919) 284-6008
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raymond Edward Simpson
Title
Chief Financial Officer
Phone
(919) 938-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

400 N Englewood Dr
Kenly, NC 27542-9290

Mailing address

509 N Brightleaf Blvd
P.O. Box 1376
Smithfield, NC 27577-4407
Phone (919) 934-8171

Other names 1

  • Johnston Family Care Center-Kenly Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336189760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "address_2": "P.O. BOX 1376",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-934-8171",
            "fax_number": "919-989-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ENGLEWOOD DR",
            "city": "KENLY",
            "state": "NC",
            "postal_code": "275429290",
            "telephone_number": "919-284-4149",
            "fax_number": "919-284-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-938-7128"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Family Care Center-Kenly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenly, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.