Organization Active NPI

Hoots Memorial Hospital Inc

  • Critical Access Hospital
  • Yadkinville, NC
National Provider Identifier
1750359238
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H0155 Issued in NC
Legal business name
HOOTS MEMORIAL HOSPITAL INC
Practice address
624 W Main St
Yadkinville, NC 27055-7804
Phone
(336) 679-6776
Fax
(336) 679-6716
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mrs. Julia Norman
Title
Chief Financial Officer
Phone
(336) 679-6776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H0155 NC
Critical Access Hospital 282NC0060X H0155 NC Primary

Addresses

Primary practice location

624 W Main St
Yadkinville, NC 27055-7804

Mailing address

PO Box 68
Yadkinville, NC 27055-0068
Phone (336) 679-6776

Other identifiers 2

IdentifierTypeStateIssuer
3451308MedicaidNC
3461308MedicaidNC

Other names 1

  • Hoots Memorial Hospital Inc Swing Bed Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1750359238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550068",
            "telephone_number": "336-679-6776",
            "fax_number": "336-679-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557804",
            "telephone_number": "336-679-6776",
            "fax_number": "336-679-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOTS MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "336-679-6776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NC",
            "license": "H0155",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3451308",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3461308",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoots Memorial Hospital Inc Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.