Stovall Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

STOVALL MEDICAL CENTER

Practice address

100 Durham St.
Stovall, NC 27582

Phone

(919) 690-8880

Fax

(919) 690-8882

NPI assigned

Dec 11, 2006

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cristina Blalock

Title

Director

Phone

(919) 690-8880

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Michael Mahan, M.D.

  • Family Medicine Physician
  • Oxford, NC
  • NPI 1477550473
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1720148414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "STOVALL",
            "state": "NC",
            "postal_code": "275820027",
            "telephone_number": "919-690-8880",
            "fax_number": "919-690-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DURHAM ST.",
            "city": "STOVALL",
            "state": "NC",
            "postal_code": "27582",
            "telephone_number": "919-690-8880",
            "fax_number": "919-690-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVALL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-690-8880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Lewis, PA
• Phidelma Achieng Ndege, PA
• Precious Care Home Care Agency
• Rural Health Group, Inc.
• Rural Health Group, Inc. (Rural Health Group at Stovall)

• Rural Health Clinic/Center in Stovall, NC
• Providers in Stovall, NC by specialty
• Rural Health Clinic/Center in North Carolina

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

Verify at the official NPI Registry.