Organization Active NPI

Union Memorial Regional Medical Center, Inc

  • Ambulatory Family Planning Facility
  • Monroe, NC
National Provider Identifier
1710072186
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
H 0050 Issued in NC
Legal business name
UNION MEMORIAL REGIONAL MEDICAL CENTER, INC
Practice address
412 East Franklin St
Monroe, NC 28111
Phone
(704) 289-9461
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mr. John G Moore, CPA
Title
Cfo
Phone
(704) 283-3185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X H 0050 NC Primary

Addresses

Primary practice location

412 East Franklin St
Monroe, NC 28111

Mailing address

412 E. Franklin St
Monroe, NC 28111
Phone (704) 289-9461

Other identifiers 1

IdentifierTypeStateIssuer
235115BOtherNCMEDICARE

Other names 1

  • Franklin Street Ambulatory Clinic/Facility of URMC Doing business as

National Provider Directory

National Provider Directory

Locations

1009 Slater Rd
Ste 380
Durham, NC 27703
Phone (800) 541-2531

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1710072186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E. FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28111",
            "telephone_number": "704-289-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 EAST FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28111",
            "telephone_number": "704-289-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEMORIAL REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-283-3185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NC",
            "license": "H 0050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "235115B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin Street Ambulatory Clinic/Facility of URMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.