NPIMap

Organization Active NPI

Firsthealth of the Carolinas, Inc

Doing business as Firsthealth Montgomery Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Troy, NC
National Provider Identifier
1346313640
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC
Doing business as
Firsthealth Montgomery Memorial Hospital
Practice address
520 Allen St
Troy, NC 27371-2802
Phone
(910) 571-5000
Fax
(910) 715-5413
NPI assigned
Nov 16, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Mickey Foster
Title
Ceo
Phone
(910) 715-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

520 Allen St
Troy, NC 27371-2802

Mailing address

PO Box 896208
Charlotte, NC 28289-6208
Phone (910) 715-1010

Other names 1

  • FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000580 NC Part A Provider - Skilled Nursing Facility 8820909377 Practice locations: Troy, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346313640. Details of each certification follow.

Skilled nursing facility certification: CCN 34Z303

Legal name
FIRSTHEALTH OF THE CAROLINAS INC
Doing business as
FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Aug 21, 1995 in NC
Enrollment address
520 Allen St
Troy, NC 27371-2802

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
Firsthealth of the Carolinas Inc Dba Firsthealth Neurology27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan R Purser Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Carolyn D Helms Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Walter S Fasolak Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
James H Bulthuis Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Mickey Foster Individual Corporate Officer Aug 1, 2020
Corporate Director Aug 1, 2020
David M Cowherd Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
John S Stevenson Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
John M May Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Stephen a Szabo Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Don R Bahner Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Robert Alexander Bowness Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
William L Stewart Individual Corporate Director Nov 14, 2011
Operational/Managerial Control Nov 14, 2011
David L Burns Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Firsthealth of the Carolinas Inc Organization, Troy, NC Non-profit 5% Or Greater Direct Ownership Interest Aug 21, 1995 100%
Bruce S Solomon Individual Corporate Director Nov 14, 2011
Operational/Managerial Control Nov 14, 2011
Anna G Hollers Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
Julian W King Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
David B Woronoff Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011
John N Ellis Individual Corporate DirectorBoard Member Nov 14, 2011
Operational/Managerial ControlBoard Member Nov 14, 2011

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 341303 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 21, 1995
Firsthealth Moore Regional HospitalPinehurst, NC, CCN 340115 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 19, 2007
Moore Regional Hospital Professional ServicesPinehurst, NC, CCN 34S115 Hospital 5% Or Greater Indirect Ownership Interest Aug 21, 1995
Firsthealth Moore Regional Hospital RehabPinehurst, NC, CCN 34T115 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 21, 1995
First Health Home CareWest End, NC, CCN 347230 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 8, 2010
First Health Home Care - RichmondRockingham, NC, CCN 347041 Home health agency 5% Or Greater Direct Ownership Interest Aug 10, 2010
Firsthealth Hospice and Palliative CareWest End, NC, CCN 341534 Hospice Operational/Managerial Control Oct 9, 2002
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 343431 Rural health clinic Operational/Managerial Control Jun 23, 2010

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1346313640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896208",
            "telephone_number": "910-715-1010",
            "fax_number": "910-715-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ALLEN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712802",
            "telephone_number": "910-571-5000",
            "fax_number": "910-715-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHEALTH OF THE CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, NC

Sources for this page

Verify at the official NPI Registry.