St. Luke'S Hospital Inc.
Organization Active NPI Critical Access Hospital · Columbus, NC
NPI 1497944912 · NPPES record last updated Jun 25, 2009
Key facts
- NPI
- 1497944912
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- H0079 (NC)
- Legal business name
- ST. LUKE'S 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
- Name
- Mr. Charles Cameron Highsmith
- Title
- Ceo and President
- Phone
- (828) 894-3311
Practitioners 64
-
Shawn Collins, CRNA
-
Nicole Leigh Derrico, LCSW
-
Samuel Douglass, DO
-
Sandry P Gaillard, CRNA
-
Derek Sean Galvin, C.R.N.A
-
Stephen H Gamboa, M.D., M.P.H.
-
John Bryan Haslam, CRNA
-
Matthew Hodapp, M.D.
-
Justin Boyette Joines, D.O.
-
William L Lewis, MD
-
Gregory McCarty, MD
-
Charly Mott, FNP-C
-
Timothy Novak, M.D.
-
Colden O'Dell, FNP
-
Richard Osborn, CRNA
-
Kirit Patel, CRNA
-
Steven Robert Punzell, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | H0079 | NC | Yes |
Addresses
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000163 | Medicaid | NC | |
| NPA992 | Medicaid | SC |
NPI Registry JSON
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245888000000",
"number": "1497944912",
"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. LUKE'S 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": "8000163",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPA992",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NC
- St Lukes Physician Network, Inc.
- St. Luke'S Hospital Inc
- St. Luke'S Hospital Inc
- St. Luke'S Hospital Inc.
- St. Luke'S Hospital Inc.
- St. Luke'S Hospital Inc.
- St. Luke'S Physician Network Inc.
- St. Luke'S Physician Network Inc.
- St. Luke'S Physician Network Inc.
- St. Lukes Hospital Inc.
All providers in Columbus, NC · Critical Access Hospital in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.