Organization Active NPI

Medical Resource Center for Randolph County, Inc.

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1801953088
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200200805 Issued in NC
Legal business name
MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY, INC.
Doing business as
MERCE Family Healthcare
Practice address
1831 North Fayetteville St
Asheboro, NC 27203
Phone
(336) 672-1300
Fax
(336) 672-3044
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Cathy Hurley
Title
Creditaling Specialist
Phone
(336) 672-1300

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 29728 NC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 200200805 NC Primary
Federally Qualified Health Center (FQHC) 261QF0400X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1831 North Fayetteville St
Asheboro, NC 27203

Mailing address

1831 N Fayetteville St
Asheboro, NC 27203-3273
Phone (336) 672-1300

Other practice location 1

425 White Oak St
Asheboro, NC 27203-4707
Phone (336) 521-9458

Other identifiers 3

IdentifierTypeStateIssuer
0282ROtherBCBS
0282ROtherNCBCBS
890282RMedicaidNC

Other names 1

  • MERCE Family Healthcare Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1801953088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272033273",
            "telephone_number": "336-672-1300",
            "fax_number": "336-672-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 NORTH FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "27203",
            "telephone_number": "336-672-1300",
            "fax_number": "336-672-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 White Oak St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272034707",
            "country_code": "US",
            "telephone_number": "336-521-9458",
            "fax_number": "336-521-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDITALING SPECIALIST",
        "authorized_official_telephone_number": "336-672-1300"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29728",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200200805",
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0282R",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0282R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890282R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCE Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCE Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.