NPIMap

Organization Active NPI

Stokes Reynolds Memorial Hospital, Inc.

Doing business as J R Jones Medical Center

  • Emergency Care Clinic/Center
  • King, NC
National Provider Identifier
1902988801
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
HO165 Issued in NC
Legal business name
STOKES REYNOLDS MEMORIAL HOSPITAL, INC.
Doing business as
J R Jones Medical Center
Practice address
402 West King Street
King, NC 27021-0402
Phone
(336) 593-2831
Fax
(336) 593-5350
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Pamela P. Tillman
Title
Chief Operating Officer
Phone
(336) 593-5314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X HO165 NC Primary

Addresses

Primary practice location

402 West King Street
King, NC 27021-0402

Mailing address

1570 NC 8 and Hwy 89 N
Danbury, NC 27021-7360
Phone (336) 593-2831

Other identifiers 2

IdentifierTypeStateIssuer
7907741MedicaidNC
5950016MedicaidNC

Other names 1

  • J R Jones Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1902988801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 NC 8 AND HWY 89 N",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270217360",
            "telephone_number": "336-593-2831",
            "fax_number": "336-593-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WEST KING STREET",
            "city": "KING",
            "state": "NC",
            "postal_code": "270210402",
            "telephone_number": "336-593-2831",
            "fax_number": "336-593-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOKES REYNOLDS MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-593-5314"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NC",
            "license": "HO165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7907741",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950016",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J R Jones Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.