Active NPI
Wilson Medical Center, Inc.
- Psychiatric Hospital Unit
- Wilson, NC
National Provider Identifier
1902966468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- H0210
- Legal business name
- WILSON MEDICAL CENTER, INC.
- Practice address
- 1705 Tarboro St SW
Wilson, NC 27893-3428 - Phone
- (252) 399-8040
- Fax
- (252) 399-8778
- NPI assigned
- Dec 12, 2006
- Organization subpart
- Yes
- Parent organization
- WILSON MEDICAL CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard E Hudson
- Title
- President and Ceo
- Phone
- (252) 399-8139
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | H0210 | NC | Primary |
Addresses
Primary practice location
1705 Tarboro St SW
Wilson, NC 27893-3428
Mailing address
1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400126S | Medicaid | NC |
Other names 1
- Wilson Medical Center, Inc. Psych Unit
National Provider Directory
National Provider Directory- Part of
- Wilson Medical Center Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1902966468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 TARBORO ST SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278933428",
"telephone_number": "252-399-8040",
"fax_number": "252-399-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 TARBORO ST SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278933428",
"telephone_number": "252-399-8040",
"fax_number": "252-399-8778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON MEDICAL CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILSON MEDICAL CENTER, INC.",
"enumeration_date": "2006-12-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "252-399-8139",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NC",
"license": "H0210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400126S",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilson Medical Center, Inc. Psych Unit",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.