NPIMap

Organization Active NPI

The Presbyterian Hospital

Doing business as Novant Health Infusion Center

  • Infusion Therapy Clinic/Center
  • Matthews, NC
National Provider Identifier
1588055529
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
H0010 Issued in NC
Legal business name
THE PRESBYTERIAN HOSPITAL
Doing business as
Novant Health Infusion Center
Practice address
1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone
(704) 384-6500
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PRESBYTERIAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mr. Roland R. Bibeau
Title
President NH Matthews Med. Ctr.
Phone
(704) 384-6391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X H0010 NC Primary

Addresses

Primary practice location

1500 Matthews Township Pkwy
Matthews, NC 28105-4656

Mailing address

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone (336) 277-7226

Other identifiers 1

IdentifierTypeStateIssuer
3400053MedicaidNC

Other names 1

  • Novant Health Infusion Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Hosp Sup51 organizations share this tax ID, including this one
Part of
Presbyterian Hosp Sup

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1588055529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-277-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054656",
            "telephone_number": "704-384-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRESBYTERIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PRESBYTERIAN HOSPITAL",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BIBEAU",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT NH MATTHEWS MED. CTR.",
        "authorized_official_telephone_number": "704-384-6391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NC",
            "license": "H0010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.