CENTRAL CAROLINA HOSPITAL (NPI# 1104365584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104365584 |
| Entity Type | Organization |
| Organization Name | CENTRAL CAROLINA HOSPITAL |
| Practice Address |
1135 Carthage St Attn Alex Spicer, Fans Sanford NC 27330-4162 |
| Practice Telephone | 9197742180 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | JOHN MAXWELL (CEO) |
| Authorized Official Telephone | 9197742103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | L004995 | NC | Hospitals |
| Street Address |
1135 CARTHAGE ST ATTN ALEX SPICER, FANS |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915776 | Dennis P Legolvan | Pathology | 1135 Carthage St, Sanford, NC 27330-4162 | 2005-07-07 |
| 1730707183 | Chase Pennel | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2020-07-13 |
| 1396384343 | Vera Kotlyar | Dietitian, Registered | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-21 |
| 1831737402 | Emily Grace Gamble | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-14 |
| 1508412511 | Jessica Rakes Heyse | Nurse Practitioner | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-08-15 |
| 1700438546 | Gary Taylor | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-07-11 |
| 1497310148 | Jonathan Goldston | Emergency Medicine | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-05-08 |
| 1336607464 | Katherine Vanderford | Registered Nurse | 1135 Carthage St, Sanford, NC 27330 | 2019-03-07 |
| 1972069243 | Mark Benning | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-02-12 |
| 1164900544 | Pazoo Xiong | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2018-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356633655 | Southern Maine Health Care-workwell | General Acute Care Hospital | 13 July St, Sanford, ME 04073-1909 | 2011-05-05 |
| 1699939827 | Central Florida Regional Hospital | General Acute Care Hospital | 1401 W Seminole Blvd, Sanford, FL 32771-6737 | 2008-07-16 |
| 1902836943 | Dlp Central Carolina Medical Center LLC | General Acute Care Hospital | 1135 Carthage St, Sanford, NC 27330-4162 | 2006-07-04 |
| 1659300200 | Henrietta D. Goodall Hospital Inc. | General Acute Care Hospital | 25 June St, Sanford, ME 04073-2621 | 2006-07-03 |
| 1275570350 | Central Florida Regional Hospital, Inc | General Acute Care Hospital | 1401 W Seminole Blvd, Sanford, FL 32771-6737 | 2006-05-31 |
| 1285681908 | Central Florida Regional Hospital, Inc | General Acute Care Hospital | 1401 W Seminole Blvd, Sanford, FL 32771-6737 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1760925143 | Duke University Medical Center | General Acute Care Hospital | 2543 Meridian Pkwy Apt 2106, Durham, NC 27713-2496 | 2016-12-02 |
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1912373804 | Baptist Medical Center | General Acute Care Hospital | 149 N Hazelwood Dr, Mocksville, NC 27028-7164 | 2015-08-14 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1689060303 | Novant Health Rehabilitation Center Matthews | General Acute Care Hospital | 1450 Matthews Township Pkwy Ste 150, Matthews, NC 28105-2388 | 2015-04-09 |
| 1124413513 | Baylor College of Medicine | General Acute Care Hospital | 537 Montclaire Dr, Mount Airy, NC 27030-9106 | 2015-04-01 |
| 1437540358 | Aimee L. Swain | General Acute Care Hospital | 4726 Rollins Pointe Dr, Monroe, NC 28110-7117 | 2015-02-13 |
| 1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
| 1487052114 | Hiroshi Okuda | General Acute Care Hospital | 103015 Dumc, Durham, NC 27710-0001 | 2014-12-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.