WEST WILKES MEDICAL CENTER, INC. (NPI# 1801832886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801832886 |
| Entity Type | Organization |
| Organization Name | WEST WILKES MEDICAL CENTER, INC. |
| Practice Address |
171 W Wilkes Medical Center Rd Ferguson NC 28624-8925 |
| Practice Telephone | 3369737050 |
| Practice Fax Number | 3369735154 |
| Mailing Telephone | 3369737050 |
| Mailing Fax Number | 3369735154 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | MRS. DEBORAH NEWMAN PIERCE (ADMINISTRATOR) |
| Authorized Official Telephone | 3369737050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900459 | 05 |
| Street Address |
171 W WILKES MEDICAL CENTER RD |
| City | FERGUSON |
| State | NC |
| Zip Code | 28624-8925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306880091 | Thomas Keith Mcmahan | Internal Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2006-06-15 |
| 1013324375 | Wilkes Physician Network, Inc. | Family Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2014-07-18 |
| 1215289590 | Heather Anderson Grant | Nurse Practitioner | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518344035 | Carnaggio and Piper Dmd Ms Pa | Dentist | 181 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2015-05-05 |
| 1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
| 1548541477 | Rick Hensley Dmd, Pa Dba Rick Hensley Family Dentistry | Dentist | 181 Medical Center Road, West Wilkes Medical Center, Ferguson, NC 28624-8925 | 2011-09-06 |
| 1346852704 | Holly Elizabeth Church | Student in an Organized Health Care Education/Training Program | 730 Mount Pleasant Rd, Ferguson, NC 28624-9026 | 2020-08-18 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1487789467 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Church Road, Ferguson, NC 28624-9080 | 2007-02-22 |
| 1912227901 | Tana Phillips Morrow | Counselor | 532 Champion Mt Pleasant Rd, Ferguson, NC 28624-9117 | 2010-06-02 |
| 1861412991 | Mary L Phillips | Radiology | 2091 Elk Ridge Rd, Ferguson, NC 28624-9146 | 2006-07-20 |
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 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 |
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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.