McCain Correctional Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

101646 Issued in NC

Legal business name

MCCAIN CORRECTIONAL HOSPITAL

Practice address

855 Old NC 211 Hwy
Raeford, NC 28376-5706

Phone

(910) 944-2351

Fax

(910) 944-9671

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carmen M Hendricks, PA

Title

Physician Assitant

Phone

(910) 944-2351

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iqbal M Khan, M.D.

  • Specialist
  • Raeford, NC
  • NPI 1417095803
  NPD (past)
• Amy Stewart Mackey, P.A.

  • Medical Physician Assistant
  • Raeford, NC
  • NPI 1467518712
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1992889141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 OLD NC 211 HWY",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765706",
            "telephone_number": "910-944-2351",
            "fax_number": "910-944-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 OLD NC 211 HWY",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765706",
            "telephone_number": "910-944-2351",
            "fax_number": "910-944-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAIN CORRECTIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN ASSITANT",
        "authorized_official_telephone_number": "910-944-2351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "101646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Martinez-Mendez, LCSWA
• Amanda Marie Mascarenas, ATC, CSCS
• Mav Interventions
• Lashunda Maynor
• Rosa McAllister-McRae
• Raquel Alexis McCann, PA-C
• Amanda McCollum
• Logan Shayne McCord, DMD
• Sherry Ann Glover McCoy, LCMHCA
• Shakara McDonald

• General Acute Care Hospital in Raeford, NC
• Providers in Raeford, NC by specialty
• General Acute Care Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.