Organization Active NPI

West Wilkes Medical Center, Inc.

  • Primary Care Clinic/Center
  • Ferguson, NC
National Provider Identifier
1801832886
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WEST WILKES MEDICAL CENTER, INC.
Practice address
171 W Wilkes Medical Center Rd
Ferguson, NC 28624-8925
Phone
(336) 973-7050
Fax
(336) 973-5154
NPI assigned
Jun 20, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mrs. Deborah Newman Pierce
Title
Administrator
Phone
(336) 973-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NC Primary

Addresses

Primary practice location

171 W Wilkes Medical Center Rd
Ferguson, NC 28624-8925

Mailing address

171 W Wilkes Medical Center Rd
Ferguson, NC 28624-8925
Phone (336) 973-7050

Other identifiers 1

IdentifierTypeStateIssuer
5900459MedicaidNC

National Provider Directory

National Provider Directory

Locations

171 W Wilkes Medical Center Rd
Ferguson, NC 28624
Phone (336) 973-7050

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1801832886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W WILKES MEDICAL CENTER RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286248925",
            "telephone_number": "336-973-7050",
            "fax_number": "336-973-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W WILKES MEDICAL CENTER RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286248925",
            "telephone_number": "336-973-7050",
            "fax_number": "336-973-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WILKES MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "NEWMAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-973-7050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900459",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.