JOHNSTON MEMORIAL HOSPITAL AUTHORITY (NPI# 1336189760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336189760 |
Entity Type | Organization |
Organization Name | JOHNSTON MEMORIAL HOSPITAL AUTHORITY |
Other Organization Name | JOHNSTON FAMILY CARE CENTER-KENLY |
Practice Address |
400 N Englewood Dr Kenly NC 27542-9290 |
Mailing Address |
509 N Brightleaf Blvd P.o. Box 1376 Smithfield NC 27577-4407 |
Practice Telephone | 9192844149 |
Practice Fax Number | 9192846008 |
Mailing Telephone | 9199348171 |
Mailing Fax Number | 9199897297 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | RAYMOND EDWARD SIMPSON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9199387128 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Johnston Family Care Center-Kenly | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184815581 | Johnston Memorial Hospital Authority | Internal Medicine | 507 N Brightleaf Blvd, Suite 201 Medical Arts Bldg, Smithfield, NC 27577-4405 | 2007-08-09 |
1679763593 | Johnston Memorial Hospital Authority | Speech-Language Pathologist | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-07-26 |
1396968954 | Johnston Memorial Hospital Authority | Clinic/Center | 514 N Brightleaf Blvd, Suite 1200, Smithfield, NC 27577-4407 | 2007-04-11 |
1003938150 | Johnston Memorial Hospital Authority | Clinic/Center | 133 Glen Rd, Garner, NC 27529-7947 | 2007-04-06 |
1225078611 | Johnston Memorial Hospital Authority | Clinic/Center | 70 Crape Myrtle Dr, Suite 104, Benson, NC 27504-8034 | 2006-06-07 |
Street Address |
400 N ENGLEWOOD DR |
City | KENLY |
State | NC |
Zip Code | 27542-9290 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295745099 | Johnston Memorial Hospital | Clinic/Center | 400 N Englewood Dr, Kenly, NC 27542-9290 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
1780147207 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 9266 Us Highway 301 S, Kenly, NC 27542 | 2019-04-11 |
1770885766 | Kenly Drug & Pharmacy, Inc. | Pharmacist | 104 East Second St, Kenly, NC 27542 | 2010-11-23 |
1881905461 | Mary Langley Baker | Pharmacist | 104 East Second Stt, Kenly, NC 27542 | 2010-06-29 |
1235282567 | Audrey Anderson Heath | Pharmacist | 110 W. Second St., Kenly, NC 27542 | 2007-01-19 |
1528110053 | Lynn L Davis | Pharmacy Technician | 110 West 2nd Street, Kenly, NC 27542 | 2007-01-17 |
1518045079 | Scott A Turik | Dentist | 409 East Second St, Pob 483, Kenly, NC 27542 | 2006-11-01 |
1548222755 | Rebecca M Lancaster | Physician Assistant | 101 E 2nd Street, Kenly, NC 27542 | 2006-04-04 |
1639220684 | Jerry Carl Davis | Pharmacist | 110 W 2nd St, Kenly, NC 27542 | 2007-01-16 |
1467611749 | Robin Ray Davis | Pharmacist | 104 East Second Street, Kenly, NC 27542-0147 | 2008-06-03 |
Find all providers in zip 27542 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
Find all providers with the same taxonomy |
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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.