Active NPI
Stanly Regional Medical Center
- Rehabilitation Hospital Unit
- Albemarle, NC
National Provider Identifier
1891756144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- H0008
- Legal business name
- STANLY REGIONAL MEDICAL CENTER
- Practice address
- 301 Yadkin St
Albemarle, NC 28001-3441 - Phone
- (704) 984-4000
- NPI assigned
- Mar 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Al Taylor
- Title
- Ceo
- Phone
- (704) 984-4347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | H0008 | NC | Primary |
Addresses
Primary practice location
301 Yadkin St
Albemarle, NC 28001-3441
Mailing address
301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 984-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400119T | Medicaid | NC | |
| 00074 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1891756144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 YADKIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013441",
"telephone_number": "704-984-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 YADKIN ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013441",
"telephone_number": "704-984-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLY REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "AL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-984-4347"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "NC",
"license": "H0008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400119T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00074",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.