GATES COUNTY MEDICAL CENTER LLC (NPI# 1639217631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639217631 |
| Entity Type | Organization |
| Organization Name | GATES COUNTY MEDICAL CENTER LLC |
| Practice Address |
501 Main St Gatesville NC 27938-9424 |
| Mailing Address |
Po Box 297 Gatesville NC 27938-0297 |
| Practice Telephone | 2523571226 |
| Practice Fax Number | 2523571236 |
| Mailing Telephone | 2523571226 |
| Mailing Fax Number | 2523571236 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | SYLVIA P BOONE (OFFICE MANAGER) |
| Authorized Official Telephone | 2523571226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
501 MAIN ST |
| City | GATESVILLE |
| State | NC |
| Zip Code | 27938-9424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514025 | Anne Marie Monte-parker | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2019-08-20 |
| 1295224772 | Candice S Mathis | Pharmacist | 501 Main St, Gatesville, NC 27938-9424 | 2018-05-09 |
| 1588039036 | Shelley Ann Smith | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2015-12-09 |
| 1629478730 | Racheal Elliott Shaddeau | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2014-08-26 |
| 1205241387 | Gateway Community Health Centers, Inc | Clinic/Center | 501 Main St, Gatesville, NC 27938-9424 | 2014-06-26 |
| 1588078000 | La Tasha Al-jarboua | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2014-06-12 |
| 1093071011 | Abigail Claudia Bivans | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2012-04-03 |
| 1518247576 | Gateway Community Health Centers, Inc. | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2011-08-23 |
| 1700944238 | Suzanne Gardiner Mahar | Physician Assistant | 501 Main St, Gatesville, NC 27938-9424 | 2006-12-05 |
| 1255392197 | James Wayne Blanton | Family Medicine | 501 Main St, Gatesville, NC 27938-9424 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739877 | Todds Pharmacy of Gates Co Inc | Pharmacy | 504 Main St., Gatesville, NC 27938 | 2017-02-23 |
| 1306226253 | Gates House, LLC | Assisted Living Facility | 11 Commerce Drive, Gatesville, NC 27938 | 2015-06-05 |
| 1679705958 | Intensive Mental Care Inc | Community/Behavioral Health | 102 West Mapel Street, Gatesville, NC 27938 | 2009-08-20 |
| 1891831541 | John Burton Sledge Jr. | Pediatrics | Gates Correctional Center 308 Us Highway 158w, Gatesville, NC 27938 | 2007-01-29 |
| 1144716903 | Liberty Healthcare Group LLC | Home Health | 212 Main Street, Gatesville, NC 27938 | 2018-07-05 |
| 1689837841 | Carolinas Home Care Inc | Home Health | 111 Court St, Gatesville, NC 27938 | 2008-07-08 |
| 1073739561 | Coastal Rehabilitation Inc | Occupational Therapist | 501 Main Street, Gatesville, NC 27938 | 2007-04-17 |
| 1033203328 | Todds Pharmacy of Gates County | Pharmacy | 504 Main St, Gatesville, NC 27938 | 2006-10-03 |
| 1265686406 | Associates United Corporation | Community/Behavioral Health | 102 West Maple St, Gatesville, NC 27938-0102 | 2008-11-14 |
| 1164852935 | The Davis Housing Group | Case Management | 26 Langston Ln, Gatesville, NC 27938-9300 | 2013-11-15 |
| Find all providers in zip 27938 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
| City | GATESVILLE |
| Zip Code | 27938 |
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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.