NPIMap

Organization Active NPI

Johnston Health Services Corporation

  • Internal Medicine Physician
  • Smithfield, NC
National Provider Identifier
1578620316
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOHNSTON HEALTH SERVICES CORPORATION
Practice address
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone
(919) 934-8171
Fax
(919) 938-7069
NPI assigned
Jan 2, 2007
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Mr. Edward Alvin Klein
Title
Chief Financial Officer
Phone
(919) 938-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

509 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

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

Other names 1

  • Johnston Memorial Hospital Authority Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1578620316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "address_2": "PO BOX 1376",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-934-8171",
            "fax_number": "919-938-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-934-8171",
            "fax_number": "919-938-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-938-7128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Memorial Hospital Authority",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.