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Firsthealth of the Carolinas, Inc

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Troy, NC

NPI 1346313640 · NPPES record last updated Dec 4, 2024

Key facts

NPI
1346313640
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC
Practice address
520 Allen St
Troy, NC 27371-2802
Phone
(910) 571-5000
Fax
(910) 715-5413
NPI assigned
Nov 16, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 16

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

Owned or controlled facilities with NPI records 10

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

Other NPIs with the same Medicare PAC ID 11

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

Corporate family (same tax ID) 26

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

View all 26

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

Facilities with the same owner 7

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

Practitioners 138

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

View all 138

Affiliated clinicians 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Skilled nursing facility certification: CCN 34Z303

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

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 Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
Carolyn D Helms
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
Walter S Fasolak
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
James H Bulthuis
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
Mickey Foster
Individual 		Corporate Officer Aug 1, 2020
Corporate Director Aug 1, 2020
David M Cowherd
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
John S Stevenson
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
John M May
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
Stephen a Szabo
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
Don R Bahner
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
Robert Alexander Bowness
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
William L Stewart
Individual 		Corporate Director Nov 14, 2011
Operational/Managerial Control Nov 14, 2011
David L Burns
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board 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 Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
Julian W King
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
David B Woronoff
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011
John N Ellis
Individual 		Corporate Director
Board Member		 Nov 14, 2011
Operational/Managerial Control
Board Member		 Nov 14, 2011

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

Medicare enrollment records

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

National Provider Directory

Tax ID family
Firsthealth Dental Care Center (27 organizations share this tax ID)

Specialties & licenses

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

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

  • FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL Doing business as

Other providers in Troy, NC

All providers in Troy, NC · Medicare Defined Swing Bed Hospital Unit in North Carolina

Sources for this page

Verify at the official NPI Registry.