WATAUGA MEDICAL CENTER, INC. (NPI# 1881085587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881085587 |
| Entity Type | Organization |
| Organization Name | WATAUGA MEDICAL CENTER, INC. |
| Other Organization Name | THE REHABILITTION CENTER |
| Practice Address |
232 A Boone Heights Drrive Boone NC 28607 |
| Mailing Address |
232a Boone Heights Dr Boone NC 28607-4926 |
| Practice Telephone | 8282689043 |
| Practice Fax Number | 8282689045 |
| Mailing Telephone | 8282689043 |
| Mailing Fax Number | 8282689045 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-27 |
| Authorized Official Name | MS. TAMMY LYNN MOODY (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 8282631211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Rehabilittion Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660492 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2005-06-24 |
| 1093107542 | Watauga Medical Center, Inc. | Clinical Medical Laboratory | 336 Deerfield Rd, Boone, NC 28607-5008 | 2015-02-20 |
| 1033548052 | Watauga Medical Center, Inc. | Clinic/Center | 336 Deerfield Rd, Boone, NC 28607-5008 | 2013-11-12 |
| 1295079796 | Watauga Medical Center, Inc. | Internal Medicine | 436 Hospital Drive, Suite 210, Linville, NC 28646-0787 | 2012-11-21 |
| 1003150590 | Watauga Medical Center, Inc. | Internal Medicine | 436 Hospital Drive, Suite 210, Linville, NC 28646-0787 | 2012-11-21 |
| 1174867667 | Watauga Medical Center, Inc. | Internal Medicine | 257 Medical Park Dr, Jefferson, NC 28640-9561 | 2012-11-21 |
| 1194069765 | Watauga Medical Center, Inc. | Internal Medicine | 257 Medical Park Dr, Jefferson, NC 28640-9561 | 2012-11-20 |
| 1942497953 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2007-10-03 |
| 1396932307 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2007-10-03 |
| 1588851596 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2007-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WATAUGA MEDICAL CENTER, INC. | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Street Address |
232 A BOONE HEIGHTS DRRIVE |
| City | BOONE |
| State | NC |
| Zip Code | 28607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| Find all providers with the same taxonomy | ||||
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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.