NPIMap

Organization Active NPI

The Moses H. Cone Memorial Hospital Operating Corporation

  • Rehabilitation Hospital Unit
  • Greensboro, NC
National Provider Identifier
1962515353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
H0159 Issued in NC
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Practice address
1200 N Elm St
Greensboro, NC 27401-1004
Phone
(336) 832-7695
Fax
(336) 832-6941
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth Sutherland Ward
Title
Cfo/Treasurer
Phone
(336) 832-7791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X H0159 NC Primary

Addresses

Primary practice location

1200 N Elm St
Greensboro, NC 27401-1004

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7695

Other identifiers 2

IdentifierTypeStateIssuer
3400091TMedicaidNC
001CAOtherNCBCBS REHAB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080308000059 NC Part A Provider - Hospital 6204744600 Practice locations: Greensboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962515353. Details of each certification follow.

Hospital certification: CCN 34T091

Legal name
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Doing business as
CONE HEALTH
Organization structure
CorporationNon-profit
Incorporated
Jan 25, 1985 in NC
Enrollment address
1200 North Elm Street
Greensboro, NC 27401-1020
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Moses H. Cone Memorial HospitalCCN 34T091 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Mem Hosp39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rene Revels Smith Individual Corporate OfficerAssistant Treasurer Director Oct 1, 2020
W-2 Managing EmployeeDirector Oct 8, 1985
Andrew Edward Barrow Individual Corporate OfficerCfo & SW Treasurer Feb 1, 2021
Corporate DirectorCfo & SW Treasurer Feb 1, 2021
W-2 Managing EmployeeVice President SW Cfo Office Nov 5, 2012
Jacob B. Balsley Individual Corporate DirectorBoard of Trustees Oct 1, 2011
John E. Kitchen Individual Corporate DirectorBoard of Trustees Oct 1, 2018
Mary J Cagle Individual Corporate OfficerChief Operating Officer Oct 1, 2018
W-2 Managing EmployeeChief Operating Officer SW Oct 1, 2014
Mandy C. Eaton Individual Corporate OfficerAssistant Secretary Oct 1, 2018
W-2 Managing EmployeeExecutive Vice President SW HR May 10, 1999
The Moses H. Cone Memorial Hospital Organization, Greensboro, NC 5% Or Greater Direct Ownership Interest Nov 19, 2007
John Miller Individual Corporate OfficerChief Invest Officer and Treasurer Jan 31, 2011
W-2 Managing EmployeeChief Invest Officer and Treasurer Jan 31, 2011
Terrence Akin Individual Corporate Officer Jul 20, 2009
Corporate DirectorPresident and Chief Exec Officer Jul 20, 2009
W-2 Managing Employee Aug 30, 2010
Flavius D. Hornaday Individual Corporate DirectorChairman, Board of Trustees May 1, 2013
Robert B Carter Individual Corporate OfficerVice President and General Counsel Oct 1, 2014
W-2 Managing EmployeeVice President and General Counsel Oct 1, 2014
Carole Simms Individual Corporate DirectorBoard of Trustees Sep 13, 2013
James Roskelly Individual Corporate OfficerExec Vice Pres Sep 1, 1986
W-2 Managing EmployeeExecutive Vice President Sep 1, 1986
Michael M Simms Individual Corporate OfficerAssistant Treasurer Oct 1, 2018
W-2 Managing EmployeeVice President Revenue Cycle Mar 8, 2013
Lenora R Campbell Individual Corporate DirectorBoard of Trustees Oct 1, 2018
Chapman McQueen Individual Corporate DirectorBoard of Trustees May 1, 2013
Mehee Haywood Individual Corporate OfficerAssistant Treasurer Oct 1, 2018
W-2 Managing EmployeeDirector SW Treasury Department May 29, 2001
James H Maxwell Individual Corporate DirectorBoard of Trustees Oct 1, 2011
David Lawrence Kitzmiller Individual Corporate OfficerAssistant Treasurer Jan 25, 1985
W-2 Managing EmployeeDirector, SW Reimbursement Jan 25, 1985
Mae Douglas Individual Corporate DirectorBoard of Trustees Oct 1, 2018
Edward Cone Individual Corporate DirectorBoard of Trustees Oct 1, 2011

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alamance Regional Medical Center IncBurlington, NC, CCN 34S070 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962515353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7695",
            "fax_number": "336-832-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7695",
            "fax_number": "336-832-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SUTHERLAND",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "336-832-7791"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NC",
            "license": "H0159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400091T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REHAB",
            "identifier": "001CA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.