Active NPI
Washington County Hospital
- Family Medicine Physician
- Plymouth, NC
National Provider Identifier
1508034810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0006
- Legal business name
- WASHINGTON COUNTY HOSPITAL
- Practice address
- 1006 US Highway 64 E
Plymouth, NC 27962-9215 - Phone
- (252) 793-7701
- Fax
- (252) 793-7736
- NPI assigned
- Feb 20, 2008
- Organization subpart
- Yes
- Parent organization
- WASHINGTON COUNTY HOSPITAL, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary B. Ambrose
- Title
- Controller
- Phone
- (252) 793-7653
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0006 | NC | Primary |
| Internal Medicine Physician | 207R00000X | H0006 | NC | |
| Hospitalist Physician | 208M00000X | H0006 | NC | |
| Medical Physician Assistant | 363AM0700X | H0006 | NC |
Addresses
Primary practice location
1006 US Highway 64 E
Plymouth, NC 27962-9215
Mailing address
958 US Highway 64 E
PO Box 707
Plymouth, NC 27962-9216
Phone (252) 793-4135
Other names 1
- PLYMOUTH PRIMARY CARE RURAL HEALTH CLINIC
National Provider Directory
National Provider Directory- Part of
- Washington Co Hosp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1508034810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "958 US HIGHWAY 64 E",
"address_2": "PO BOX 707",
"city": "PLYMOUTH",
"state": "NC",
"postal_code": "279629216",
"telephone_number": "252-793-4135",
"fax_number": "252-793-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 US HIGHWAY 64 E",
"city": "PLYMOUTH",
"state": "NC",
"postal_code": "279629215",
"telephone_number": "252-793-7701",
"fax_number": "252-793-7736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON COUNTY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WASHINGTON COUNTY HOSPITAL, INC.",
"enumeration_date": "2008-02-20",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "AMBROSE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "252-793-7653"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "H0006",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "H0006",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "NC",
"license": "H0006",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "H0006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PLYMOUTH PRIMARY CARE RURAL HEALTH CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Plymouth, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.