NPIMap

Organization Active NPI

Pioneer Health Services of Stokes County, Inc.

Doing business as Pioneer Family Medical of Rural Hall

  • Clinic/Center
  • Rural Hall, NC
National Provider Identifier
1760807648
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.
Doing business as
Pioneer Family Medical of Rural Hall
Practice address
100 E Wall St
Rural Hall, NC 27045-9312
Phone
(336) 969-9158
NPI assigned
Feb 28, 2014
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Joseph S McNulty III
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

100 E Wall St
Rural Hall, NC 27045-9312

Mailing address

100 E Wall St
Rural Hall, NC 27045-9312
Phone (336) 969-9158

Other names 1

  • Pioneer Family Medical of Rural Hall Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1760807648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WALL ST",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459312",
            "telephone_number": "336-969-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E WALL ST",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459312",
            "telephone_number": "336-969-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Medical of Rural Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rural Hall, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.