LIFEBRITE HOSPITAL GROUP OF STOKES, LLC (NPI# 1609319490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609319490 |
Entity Type | Organization |
Organization Name | LIFEBRITE HOSPITAL GROUP OF STOKES, LLC |
Other Organization Name | LIFEBRITE FAMILY MEDICAL OF DANBURY |
Practice Address |
1570 Nc 8 and 89 Hwy N Danbury NC 27016-7360 |
Practice Telephone | 3365935311 |
Practice Fax Number | 3365935350 |
Mailing Telephone | 3365935311 |
Mailing Fax Number | 3365935350 |
Enumeration Date | 2016-11-28 |
Last Update Date | 2017-03-22 |
Authorized Official Name | MR. CHRISTIAN FLETCHER (CEO) |
Authorized Official Telephone | 3365935311 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDICARE PART B PTAN | G557 | 01 |
NC | HOSPITAL LICENSURE | H0165 | 01 |
NC | PTAN | 343447 | 01 |
Other Name | Type Code |
---|---|
LifeBrite Family Medical of Danbury | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346775285 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 3853 Us 311 Hwy N, Pine Hall, NC 27042-8184 | 2017-04-28 |
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 |
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 |
1570 NC 8 AND 89 HWY N |
City | DANBURY |
State | NC |
Zip Code | 27016-7360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720070931 | Nancy Ann Tuttle Stone | Nurse Practitioner | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2005-08-16 |
1861018897 | Sterling Johnston Nicholson Iv | Nurse Practitioner | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2020-06-25 |
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 |
1629511597 | Lifebrite Hospital Group of Stokes, LLC | Skilled Nursing Facility | 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 |
1104369073 | Lifebrite Hospital Group of Stokes, LLC | Nurse Anesthetist, Certified Registered | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-28 |
1255874244 | Lifebrite Hospital Group of Stokes, LLC | General Acute Care Hospital | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-23 |
1033591920 | Ashley Angell | Physical Therapy Assistant | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2015-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740663376 | Rodney Grant Dunford | Physical Therapist | 1570 Nc 8&89 Highway North, Danbury, NC 27016 | 2015-07-01 |
1548643323 | Jeffrey Leonard Read | Community Health Worker | 1570 N. Carolina Rt 8 and N. Carolina Rt 89, Danbury, NC 27016 | 2015-06-30 |
1922282789 | Stokes Reynolds Memorial Hospital, Inc. | Clinic/Center | 1020 Hospice Dr., Danbury, NC 27016 | 2007-12-28 |
1093910861 | John Campbell Hines | Counselor | 1570 Nc 8 & 89 Hwy N, Danbury, NC 27016 | 2007-06-20 |
1023170826 | Roswell Tempest Lowry | Emergency Medicine | Stokes-reynolds Memorial Hospital, Nc Hwy 8 & 89 N, Danbury, NC 27016 | 2006-12-15 |
1588686646 | Stokes Count Schools | Local Education Agency (LEA) | 501 N. Main St., Danbury, NC 27016 | 2006-07-24 |
1144221078 | Stokes Reynolds Memorial Hospital, Inc. | Hospice Care, Community Based | 1570 Highway 8 & 89 N, Danbury, NC 27016 | 2005-08-02 |
1225542376 | Enduracare Acute Care Services LLC | Clinic/Center | 1570 Hwy 8 and 89 North, Danbury, NC 27016 | 2017-11-28 |
1003135237 | Demera Jamie Hale | Dietitian, Registered | 1009 Main Street, Danbury, NC 27016 | 2010-05-27 |
1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
Find all providers in zip 27016 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
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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 |
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1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
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 |
1417123993 | Bladen Healthcare, LLC | Clinic/Center | 1106 W Seaboard St, Bladenboro, NC 28320-6985 | 2008-05-05 |
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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.