Organization Active NPI

Zion Healing Centers NC LLC

  • Clinic/Center
  • High Point, NC
National Provider Identifier
1750160867
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ZION HEALING CENTERS NC LLC
Practice address
4045 Premier Dr Ste 101
High Point, NC 27265-9431
Phone
(336) 653-9668
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Heath Bush
Title
Owner/Manager
Phone
(336) 653-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4045 Premier Dr Ste 101
High Point, NC 27265-9431

Mailing address

PO Box 1356
Randleman, NC 27317-2356
Phone (336) 653-9668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509002331 NC Part B Supplier - Clinic/Group Practice 9133560063 Receives reassigned benefits from 3 practitioners
Practice locations: High Point, NC

National Provider Directory

National Provider Directory
Tax ID family
Zion Healing Centers NC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4045 Premier Dr
Ste 101
High Point, NC 27265
Phone (336) 606-3812

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1750160867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1356",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273172356",
            "telephone_number": "336-653-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 PREMIER DR STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659431",
            "telephone_number": "336-653-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION HEALING CENTERS NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "336-653-9668"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.