Wilson Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILSON MEDICAL CENTER, INC.

Doing business as

Powell Memorial Clinic

Practice address

11180 Finch Avenue
Middlesex, NC 27557

Phone

(252) 235-2298

Fax

(252) 399-8829

NPI assigned

Feb 26, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

WILSON MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Richard E. Hudson

Title

President & Chief Executive Officer

Phone

(252) 399-8139

Specialties & licenses 1

Addresses

Other names 1

• Powell Memorial Clinic Doing business as

Part of

Wilson Medical Center Inc

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1962538447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 FINCH AVENUE",
            "address_2": "P.O. BOX 879",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "275570879",
            "telephone_number": "252-235-2298",
            "fax_number": "252-399-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 FINCH AVENUE",
            "city": "MIDDLESEX",
            "state": "NC",
            "postal_code": "27557",
            "telephone_number": "252-235-2298",
            "fax_number": "252-399-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILSON MEDICAL CENTER, INC.",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-399-8139"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell Memorial Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Middlesex, NC
• Providers in Middlesex, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.