WASHINGTON COUNTY HOSPITAL (NPI# 1417125725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417125725 |
| Entity Type | Organization |
| Organization Name | WASHINGTON COUNTY HOSPITAL |
| Other Organization Name | WASHINGTON COUNTY EMERGENCY ROOM GROUP |
| Practice Address |
958 Us Highway 64 E Plymouth NC 27962-9216 |
| Mailing Address |
Po Box 707 Plymouth NC 27962-0707 |
| Practice Telephone | 2527934135 |
| Practice Fax Number | 2527931530 |
| Mailing Telephone | 2527934135 |
| Mailing Fax Number | 2527931530 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | MARY B. AMBROSE (CONTROLLER) |
| Authorized Official Telephone | 2527937653 |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON COUNTY HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | H0006 | NC | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | H0006 | NC | Dietary & Nutritional Service Providers |
| N | 207L00000X | Anesthesiology | H0006 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | H0006 | NC | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | H0006 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | H0006 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207P00000X | Emergency Medicine | H0006 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 07742 | 01 |
| NC | 8907742 | 05 |
| Other Name | Type Code |
|---|---|
| WASHINGTON COUNTY EMERGENCY ROOM GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821279019 | Washington County Hospital | General Acute Care Hospital | 251 E. Antietam St, Hagerstown, MD 21740 | 2007-11-16 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1871509661 | Washington County Hospital | General Acute Care Hospital | 400 West 7 Th Street, Frederick, MD 21701-5724 | 2006-07-31 |
| 1962403584 | Washington County Hospital | General Acute Care Hospital | 304 E 3rd St, Washington, KS 66968-2098 | 2005-08-04 |
| 1326402355 | Washington County Hospital | Psychiatry & Neurology | 400 E Polk St, Washington, IA 52353-1237 | 2016-04-06 |
| 1659746949 | Washington County Hospital | Pharmacy | 222 S Iowa Ave, Washington, IA 52353-1736 | 2015-12-11 |
| 1598134090 | Washington County Hospital | Nurse Practitioner | 207 1st St, Suite 4, Kalona, IA 52247-9729 | 2015-09-15 |
| 1790172377 | Washington County Hospital | Clinic/Center | 302 E 2nd St, Washington, KS 66968-2029 | 2015-04-21 |
| 1699167866 | Washington County Hospital | Clinic/Center | 444 E Polk St, Washington, IA 52353-1237 | 2015-02-25 |
| 1669802955 | Washington County Hospital | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2013-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON COUNTY HOSPITAL | 14600 St Stephens Ave, Chatom, AL 36518-6711 |
| System for Award Management (SAM) Entities | WASHINGTON COUNTY HOSPITAL DISTRICT #1 | 205 S Hanover St, Hanover, KS 66945-8924 |
| Street Address |
958 US HIGHWAY 64 E |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| 1972119782 | Centennial Housing & Community Services Corporation | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
| 1558977371 | Centennial Housing & Community Services Corporation | Medicare Defined Swing Bed Unit | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
| 1902412729 | Centennial Housing & Community Services Corporation | Emergency Medicine | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
| 1871801506 | Sue H. Hillard | Physical Therapist | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2010-09-15 |
| 1962733584 | Karen C Weir | Licensed Practical Nurse | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2010-01-21 |
| 1790821817 | County of Washington | Ambulance | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2007-01-29 |
| 1053351031 | Washington Regional Medical Center | Ambulance | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2006-06-07 |
| 1457391542 | Cah Acquisition Company 1 LLC | Emergency Medicine | 958 Us Highway 64 E, Plymouth, NC 27962 | 2006-06-07 |
| 1225078322 | Cah Acquisition Company 1 LLC | Medicare Defined Swing Bed Unit | 958 Us Highway 64 E, Plymouth, NC 27962 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1407110174 | Mark Travis Hemming | Emergency Medicine | 46920 N Territorial Rd, Plymouth, MI 48170-3067 | 2012-06-27 |
| 1194804179 | Vidvud Valdmanis | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1013096098 | Douglas Mcvicar | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1548349533 | Alex G. Medlicott | Emergency Medicine | 16 Hospital Road, Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1285672576 | Charles D Schaub IIi | Emergency Medicine | 275 Sandwich Street, Jordan Hospital, Plymouth, MA 02360 | 2006-06-02 |
| 1275570459 | Patricia E Sullivan | Emergency Medicine | 275 Sandwich St., Jordan Hospital, Plymouth, MA 02360 | 2006-05-31 |
| 1376519587 | William J Wagner | Emergency Medicine | N7426 County Road J, Plymouth, WI 53073-2741 | 2006-02-27 |
| 1770558264 | Mauricio E Palencia | Emergency Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2006-02-20 |
| 1417937491 | Christopher M Callahan | Emergency Medicine | 14700 28th Ave N Ste 25, Plymouth, MN 55447 | 2006-01-18 |
| Find all providers in PLYMOUTH | ||||
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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.