WILSON MEDICAL CENTER, INC. (NPI# 1538467501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538467501 |
| Entity Type | Organization |
| Organization Name | WILSON MEDICAL CENTER, INC. |
| Other Organization Name | HOME CARE OF WILSON MEDICAL CENTER |
| Practice Address |
1705 Tarboro St Sw Wilson NC 27893-3428 |
| Practice Telephone | 2523997431 |
| Practice Fax Number | 2523996369 |
| Mailing Telephone | 2523997431 |
| Mailing Fax Number | 2523996369 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | MR. RICHARD E. HUDSON (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2523998139 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILSON MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HC1161 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418910 | 05 | |
| NC | 6602116 | 05 |
| Other Name | Type Code |
|---|---|
| Home Care of Wilson Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962538447 | Wilson Medical Center, Inc. | Family Medicine | 11180 Finch Avenue, Middlesex, NC 27557 | 2007-02-26 |
| 1902932478 | Wilson Medical Center, Inc. | Family Medicine | 312 South Main Street, Stantonsburg, NC 27883-0400 | 2007-02-26 |
| 1467546184 | Wilson Medical Center, Inc. | General Acute Care Hospital | 1705 Tarboro Street, Sw, Wilson, NC 27893-3428 | 2006-10-03 |
| 1366415630 | Wilson Medical Center, Inc. | Hospice Care, Community Based | 1705 Tarboro Street,sw, Wilson, NC 27893-3428 | 2006-02-08 |
| 1639592116 | Wilson Medical Center, Inc. | Internal Medicine | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2014-02-04 |
| 1578901005 | Wilson Medical Center, Inc. | Preventive Medicine | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2013-06-06 |
| 1982961314 | Wilson Medical Center, Inc. | Technician | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2012-04-23 |
| 1336423102 | Wilson Medical Center, Inc. | Clinical Medical Laboratory | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2011-09-28 |
| 1215218961 | Wilson Medical Center, Inc. | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2011-09-07 |
| 1235422510 | Wilson Medical Center, Inc. | Internal Medicine | 2605 Forest Hills Rd Sw, Wilson, NC 27893-4448 | 2011-05-19 |
| 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 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1124388350 | Myles Home Health Agency II | Home Health | 4355 Us Highway 264 Alt E, Wilson, NC 27893-7616 | 2012-05-22 |
| 1134457625 | Hand & Hand Home Care LLC | Home Health | 2405 Kauffman Ct E, Wilson, NC 27893-8959 | 2009-11-23 |
| 1184957573 | Kantra Home Health Care, LLC | Home Health | 4450 Riverbirch Rd N, Wilson, NC 27896-8409 | 2009-09-16 |
| 1568603918 | Pelham Home Health Services, Inc. | Home Health | 1224 Scythia Drive, Wilson, NC 28793-4748 | 2009-03-16 |
| 1801002621 | Interim Healthcare - Morris Group Inc | Home Health | 1705 Medical Park Dr W, Wilson, NC 27893-2788 | 2007-05-16 |
| 1154541944 | Good Health Care Professionals, Inc. | Home Health | 182 Redwood St, Wilson, OK 73463-6555 | 2007-04-26 |
| 1336273986 | Action Health Staffing | Home Health | 2000 Nash St N Ste A, Wilson, NC 27893-1724 | 2007-03-15 |
| 1841335940 | Johnson Home Health Care | Home Health | 501 Walton St Sw, Wilson, NC 27893-4636 | 2007-02-20 |
| 1043352883 | Reids Health Care | Home Health | 1502 Nash St N, Wilson, NC 27893-1824 | 2007-02-12 |
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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.