Organization Active NPI

Hoots Memorial Hospital Inc

Doing business as Hoots Medical Associates

  • Family Medicine Physician
  • Yadkinville, NC
National Provider Identifier
1780853937
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOOTS MEMORIAL HOSPITAL INC
Doing business as
Hoots Medical Associates
Practice address
624 W Main St
Yadkinville, NC 27055-7804
Phone
(336) 679-6776
Fax
(336) 679-6716
NPI assigned
Feb 21, 2008
Last updated
Apr 21, 2009By the provider in NPPES
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
Julia Norman
Title
Chief Financial Officer
Phone
(336) 679-6776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 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
012JYOtherNCBCBSNC
89012JYMedicaidNC

Other names 1

  • Hoots Medical Associates 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": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1780853937",
    "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": "2008-02-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "012JY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012JY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoots Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.