Stanly Medical Services

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

STANLY MEDICAL SERVICES

Doing business as

Mt Gilead Medical Services

Practice address

202 N Main St
Mount Gilead, NC 27306-9250

Phone

(910) 439-1573

Fax

(910) 439-1773

NPI assigned

Nov 7, 2005

Last updated

Jul 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marindy Bost Harris

Title

Manager Revenue Cycle

Phone

(704) 983-7320

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Mt Gilead Medical Services Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Cabarrus Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Concord, NC
  • NPI 1629283866

  Member Of

  NPD member

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1891776936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "address_2": "STE B",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-983-7320",
            "fax_number": "704-983-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273069250",
            "telephone_number": "910-439-1573",
            "fax_number": "910-439-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARINDY",
        "authorized_official_middle_name": "BOST",
        "authorized_official_title_or_position": "MANAGER REVENUE CYCLE",
        "authorized_official_telephone_number": "704-983-7320"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE C",
            "identifier": "2317250D",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID A",
            "identifier": "348931A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0124R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A",
            "identifier": "348931",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID C",
            "identifier": "348931C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Gilead Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mount Gilead LLC (Cochrane Ridenhour Drug Co #3)
• Patton Group, LLC (Evans Rest Home)
• Providence Facilities
• Shipman Family Home Care Inc.
• Regina P Smith, FNP
• Sunshine Home Health Care Inc
• Thomas-Nabinett-Thomas Group
• Thomas Lawson Wilkins, PA
• Worley's Home, LLC

• Rural Health Clinic/Center in Mount Gilead, NC
• Providers in Mount Gilead, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.