WILSON MEDICAL CENTER, INC. (NPI# 1902932478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902932478 |
| Entity Type | Organization |
| Organization Name | WILSON MEDICAL CENTER, INC. |
| Other Organization Name | STANTONSBURG MEDICAL CENTER |
| Practice Address |
312 South Main Street Stantonsburg NC 27883-0400 |
| Mailing Address |
312 South Main Street P.o. Box 400 Stantonsburg NC 27883-0400 |
| Practice Telephone | 2522382757 |
| Practice Fax Number | 2523998829 |
| Mailing Telephone | 2522382757 |
| Mailing Fax Number | 2523998829 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | RICHARD E. HUDSON (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 2523998193 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILSON MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC BLUE CROSS PROVIDER NO | 0232U | 01 |
| NC | 890232U | 05 |
| Other Name | Type Code |
|---|---|
| Stantonsburg 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 |
| 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 |
| 1538467501 | Wilson Medical Center, Inc. | Home Health | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2011-03-01 |
| Street Address |
312 SOUTH MAIN STREET |
| City | STANTONSBURG |
| State | NC |
| Zip Code | 27883-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770607384 | Virginia Dare Behavorial Health Services Inc. | Preferred Provider Organization | 367 Lane Road, Stantonsburg, NC 27883 | 2007-03-19 |
| 1518945732 | Mary A Clark | Nurse Practitioner | 312 South Main St, Stantonsburg, NC 27883 | 2006-01-06 |
| 1992782643 | Stantonsburg Drug Company, Inc | Pharmacy | 105 South Main Street, Stantonsburg, NC 27883-0040 | 2005-12-23 |
| 1730189119 | Armie Rowland Strickland Jr. | Pharmacist | 105 South Main St, Stantonsburg, NC 27883-0040 | 2005-07-27 |
| 1346396041 | Stantonsburg Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 105 S Main St, Stantonsburg, NC 27883-0040 | 2007-01-26 |
| 1356580088 | Carrie's Family Care Home | Custodial Care Facility | 1025 Pope Farm Rd, Stantonsburg, NC 27883-8525 | 2009-02-19 |
| 1225459308 | Easter Seals Ucp North Carolina & Virginia Inc. | Assisted Living Facility | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2013-12-17 |
| 1700418225 | Life, Inc. | Day Training, Developmentally Disabled Services | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2020-02-12 |
| 1609906288 | Edwards Group Home 4 | Community Based Residential Treatment Facility, Mental Illness | 1269 Apple Tree Rd, Stantonsburg, NC 27883-9039 | 2007-03-06 |
| 1831596535 | Circle of Love Family Care Home LLC. | Custodial Care Facility | 6604 Hwy 264 East Alt., Stantonsburg, NC 27883-9203 | 2014-11-24 |
| Find all providers in zip 27883 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | STANTONSBURG |
| Zip Code | 27883 |
Please comment or provide details below to improve the information on WILSON MEDICAL CENTER, INC..
| 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.