LIFEBRITE HOSPITAL GROUP OF STOKES, LLC (NPI# 1346775285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346775285 |
| Entity Type | Organization |
| Organization Name | LIFEBRITE HOSPITAL GROUP OF STOKES, LLC |
| Other Organization Name | LIFEBRITE FAMILY MEDICAL & URGENT CARE OF PINE HALL |
| Practice Address |
3853 Us 311 Hwy N Pine Hall NC 27042-8184 |
| Practice Telephone | 3365935311 |
| Practice Fax Number | 3365935350 |
| Mailing Telephone | 3364273076 |
| Mailing Fax Number | 3364273256 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | PAMELA PRIDDY TILLMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3365935314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
H0165 | NC | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H0165 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE LICENSURE | H0165 | 01 |
| Other Name | Type Code |
|---|---|
| LifeBrite Family Medical & Urgent Care of Pine Hall | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427597913 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2017-02-16 |
| 1053854653 | Lifebrite Hospital Group of Stokes, LLC | Medicare Defined Swing Bed Unit | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-30 |
| 1396288999 | Lifebrite Hospital Group of Stokes, LLC | General Acute Care Hospital | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-30 |
| 1831632645 | Lifebrite Hospital Group of Stokes, LLC | Pharmacy | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
| 1649713462 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
| 1629511597 | Lifebrite Hospital Group of Stokes, LLC | Skilled Nursing Facility | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
| 1609319490 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
| 1841733714 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
| 1295278174 | Lifebrite Hospital Group of Stokes, LLC | General Acute Care Hospital | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
| 1104369081 | Lifebrite Hospital Group of Stokes, LLC | Pediatrics | 1030 Hospice Dr, Danbury, NC 27016-7379 | 2016-11-28 |
| Street Address |
3853 US 311 HWY N |
| City | PINE HALL |
| State | NC |
| Zip Code | 27042-8184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589884 | Kirkland M Dickey | Nurse Practitioner | 3853 Us 311 Hwy N, Pine Hall, NC 27042-8184 | 2019-07-02 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 |
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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.