DLP WILSON MEDICAL CENTER LLC (NPI# 1386196459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386196459 |
Entity Type | Organization |
Organization Name | DLP WILSON MEDICAL CENTER LLC |
Other Organization Name | WILSON MEDICAL CENTER |
Practice Address |
1705 Tarboro St Sw Wilson NC 27893-3428 |
Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
Practice Telephone | 2523998040 |
Mailing Telephone | 6159207000 |
Mailing Fax Number | 6159208913 |
Enumeration Date | 2016-10-25 |
Last Update Date | 2019-07-19 |
Authorized Official Name | KATHY J. TEAGUE (SECRETARY) |
Authorized Official Telephone | 6159207000 |
Is Organization Subpart | Y |
Parent Organization Name | DLP WILSON MEDICAL CENTER LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
Other Name | Type Code |
---|---|
Wilson Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790108629 | Dlp Wilson Medical Center LLC | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-29 |
1740603836 | Dlp Wilson Medical Center LLC | In Home Supportive Care | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-27 |
1619399318 | Dlp Wilson Medical Center LLC | Hospice Care, Community Based | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-15 |
1285056986 | Dlp Wilson Medical Center LLC | Clinical Medical Laboratory | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-15 |
1528480225 | Dlp Wilson Medical Center LLC | Durable Medical Equipment & Medical Supplies | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-15 |
1215359922 | Dlp Wilson Medical Center LLC | General Acute Care Hospital | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-15 |
1093137838 | Dlp Wilson Medical Center LLC | General Acute Care Hospital | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-14 |
Street Address |
1705 TARBORO ST SW |
City | WILSON |
State | NC |
Zip Code | 27893-3428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912902628 | Wilmed Generations,inc. | Skilled Nursing Facility | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2005-06-17 |
1174131791 | Julia Adams | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-07-20 |
1457986085 | Angela Fogel Carter | Occupational Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-03-04 |
1194373217 | Louis Pettygrove | Physician Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-09-02 |
1730734757 | Joellen Carroll | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-08-06 |
1205304391 | Nikolas Bland | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-11-06 |
1629544804 | Robin Marie Steinert | Speech-Language Pathologist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-10-16 |
1093298804 | Wanda Lisa Crunkleton | Physical Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-09-08 |
1003308305 | Coastal Plains Pathology Pa | Pathology | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-06-01 |
1356861694 | Andrew Patrick Fink | Radiology | 1705 Tarboro St Sw, Wilson Medical Center, Wilson, NC 27893-3428 | 2017-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902966468 | Wilson Medical Center, Inc. | Psychiatric Unit | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
1992240972 | Veritas Collaborative | Psychiatric Unit | 500 N Sellers St, Selma, NC 27576-2647 | 2016-12-29 |
1073699492 | Smoky Mountain Center for Mh/dd/sas | Psychiatric Unit | 91 Timberlane Dr, Waynesville, NC 28786 | 2006-10-27 |
1114905783 | East Carolina Health | Psychiatric Unit | 111 Hertford County High Rd, Ahoskie, NC 27910-8131 | 2006-01-04 |
1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
1649746678 | Mh Mission Hospital, Lllp | Psychiatric Unit | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2018-10-17 |
1689166605 | Dlp Maria Parham Medical Center LLC | Psychiatric Unit | 100 Hospital Dr, Louisburg, NC 27549-2256 | 2018-06-05 |
1386090611 | Unc Department of Psychiatry | Psychiatric Unit | 101 Manning Dr, Campus Box #7160, Chapel Hill, NC 27599-7160 | 2016-05-05 |
1982079802 | The Charlotte-mecklenburg Hospital Authority | Psychiatric Unit | 301 Yadkin St, Albemarle, NC 28001-3441 | 2015-12-03 |
1619372216 | The Charlotte-mecklenburg Hospital Authority | Psychiatric Unit | 706 W King St, Kings Mountain, NC 28086-2708 | 2014-10-27 |
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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.