WILSON MEDICAL CENTER, INC. (NPI# 1982731295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982731295 |
Entity Type | Organization |
Organization Name | WILSON MEDICAL CENTER, INC. |
Other Organization Name | WILSON MEDICAL CENTER, INC. SAME DAY SURGERY |
Practice Address |
1705 Tarboro St Sw Wilson NC 27893-3428 |
Practice Telephone | 2523998040 |
Practice Fax Number | 2523998778 |
Mailing Telephone | 2523998040 |
Mailing Fax Number | 2523998778 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-09-07 |
Authorized Official Name | RICHARD HUDSON (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Authorized Official Telephone | 2523998139 |
Is Organization Subpart | Y |
Parent Organization Name | WILSON MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | H0210 | NC | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3400126A | 05 |
Other Name | Type Code |
---|---|
Wilson Medical Center, Inc. Same Day Surgery | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962538447 | Wilson Medical Center, Inc. | Family Medicine | 11180 Finch Avenue, Middlesex, NC 27557 | 2007-02-26 |
1902932478 | Wilson Medical Center, Inc. | Family Medicine | 312 South Main Street, Stantonsburg, NC 27883-0400 | 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 |
Street Address |
1705 TARBORO ST SW |
City | WILSON |
State | NC |
Zip Code | 27893-3428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912902628 | Wilmed Generations,inc. | Skilled Nursing Facility | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2005-06-17 |
1174131791 | Julia Adams | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-07-20 |
1457986085 | Angela Fogel Carter | Occupational Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-03-04 |
1194373217 | Louis Pettygrove | Physician Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-09-02 |
1730734757 | Joellen Carroll | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-08-06 |
1205304391 | Nikolas Bland | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-11-06 |
1629544804 | Robin Marie Steinert | Speech-Language Pathologist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-10-16 |
1093298804 | Wanda Lisa Crunkleton | Physical Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-09-08 |
1003308305 | Coastal Plains Pathology Pa | Pathology | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-06-01 |
1356861694 | Andrew Patrick Fink | Radiology | 1705 Tarboro St Sw, Wilson Medical Center, Wilson, NC 27893-3428 | 2017-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
Find all providers in zip 27893 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467546184 | Wilson Medical Center, Inc. | General Acute Care Hospital | 1705 Tarboro Street, Sw, Wilson, NC 27893-3428 | 2006-10-03 |
1215359922 | Dlp Wilson Medical Center LLC | General Acute Care Hospital | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-15 |
1093137838 | Dlp Wilson Medical Center LLC | General Acute Care Hospital | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
1760925143 | Duke University Medical Center | General Acute Care Hospital | 2543 Meridian Pkwy Apt 2106, Durham, NC 27713-2496 | 2016-12-02 |
1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
1912373804 | Baptist Medical Center | General Acute Care Hospital | 149 N Hazelwood Dr, Mocksville, NC 27028-7164 | 2015-08-14 |
1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
1689060303 | Novant Health Rehabilitation Center Matthews | General Acute Care Hospital | 1450 Matthews Township Pkwy Ste 150, Matthews, NC 28105-2388 | 2015-04-09 |
1124413513 | Baylor College of Medicine | General Acute Care Hospital | 537 Montclaire Dr, Mount Airy, NC 27030-9106 | 2015-04-01 |
1437540358 | Aimee L. Swain | General Acute Care Hospital | 4726 Rollins Pointe Dr, Monroe, NC 28110-7117 | 2015-02-13 |
1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
1487052114 | Hiroshi Okuda | General Acute Care Hospital | 103015 Dumc, Durham, NC 27710-0001 | 2014-12-11 |
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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.