MOREHEAD MEMORIAL HOSPITAL (NPI# 1992830483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992830483 |
| Entity Type | Organization |
| Organization Name | MOREHEAD MEMORIAL HOSPITAL |
| Other Organization Name | REIDSVILLE HIGH SCHOOL STUDENT HEALTH CENTER |
| Practice Address |
1901 S Park Dr Reidsville NC 27320-6809 |
| Mailing Address |
117 E Kings Hwy Eden NC 27288-5201 |
| Practice Telephone | 3363496443 |
| Practice Fax Number | 3363496443 |
| Mailing Telephone | 3366239711 |
| Mailing Fax Number | 3366232434 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CATHY R. DEMASON (DIRECTOR) |
| Authorized Official Telephone | 3366239711 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | 61720 | NC | Nursing Service Providers |
| X | 163W00000X | Registered Nurse | 70791 | NC | Nursing Service Providers |
| X | 207V00000X | Obstetrics & Gynecology | 00-35434 | NC | Allopathic & Osteopathic Physicians |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
200698 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
300219 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000806 | 05 |
| Other Name | Type Code |
|---|---|
| Reidsville High School Student Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153569 | Morehead Memorial Hospital | Emergency Medicine | 6701b Nc Hwy 135, Mayodan, NC 27027-8487 | 2013-10-23 |
| 1821370289 | Morehead Memorial Hospital | Audiologist-Hearing Aid Fitter | 518 S Van Buren Road, Ste 8, Eden, NC 27288-5033 | 2011-09-12 |
| 1356675011 | Morehead Memorial Hospital | Internal Medicine | 516 South Van Buren Road, Eden, NC 27288-5019 | 2009-09-29 |
| 1801080114 | Morehead Memorial Hospital | Internal Medicine | 518 S Vanburen Road, Suite 1, Eden, NC 27288-5299 | 2007-08-29 |
| 1962537431 | Morehead Memorial Hospital | Registered Nurse | 134 N Pierce St, Eden, NC 27288-3531 | 2007-02-23 |
| 1801921390 | Morehead Memorial Hospital | Registered Nurse | 180 High School Rd, Reidsville, NC 27320-8889 | 2007-02-23 |
| 1912032095 | Morehead Memorial Hospital | Nurse Practitioner | 6845 Nc Highway 135, Mayodan, NC 27027-8126 | 2007-02-22 |
| 1144384926 | Morehead Memorial Hospital | Obstetrics & Gynecology | 522 S Van Buren Rd, Eden, NC 27288-5019 | 2006-12-19 |
| 1013070283 | Morehead Memorial Hospital | Family Medicine | 110 N. Henry Street, Stoneville, NC 27048 | 2006-12-19 |
| 1922161199 | Morehead Memorial Hospital | Internal Medicine | 518 S. Van Buren Road, Suite 5, Eden, NC 27288-5201 | 2006-12-19 |
| Street Address |
1901 S PARK DR |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-6809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887264 | Keisha Corbett | Registered Nurse | 3580 Nc 14, Reidsville, NC 27320-8746 | 2020-10-07 |
| 1922128198 | Shuvon Blackwell Rankin | Registered Nurse | 1818 Richardson Dr Ste A, Reidsville, NC 27320-5450 | 2007-03-30 |
| 1801921390 | Morehead Memorial Hospital | Registered Nurse | 180 High School Rd, Reidsville, NC 27320-8889 | 2007-02-23 |
| 1386036481 | Jennifer Thomas | Registered Nurse | 405 Nc Hwy 65, Reidsville, NC 27320 | 2015-02-26 |
| 1750788436 | Angelica Marcia Davis | Registered Nurse | 405 Nc Hwy 65, Reidsville, NC 27320 | 2014-11-25 |
| 1225101389 | Teresa Susan Yates | Registered Nurse | 618 S Main St, Reidsville, NC 27320-5020 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972321 | Crystal Manus Masling | Registered Nurse | 103 N Deerfield Cir, Salisbury, NC 28147-9704 | 2020-11-08 |
| 1366043473 | Cathrine Laws Brown | Registered Nurse | Forest Baptist Medical Center, Winston Salem, NC 27157-0001 | 2020-11-04 |
| 1578162103 | Prestigious One Source Home Care | Registered Nurse | 3948 Browning Pl Ste 211, Raleigh, NC 27609-6512 | 2020-10-24 |
| 1407455363 | Nickey Lashae Dimery | Registered Nurse | 4984 Us Highway 74 W, Lumberton, NC 28360-5689 | 2020-10-21 |
| 1609475821 | Davina Demerritt Norman | Registered Nurse | 113 April Ln, Dallas, NC 28034-9709 | 2020-10-19 |
| 1003415233 | Islande Mitil | Registered Nurse | 2435 Lynn Rd Ste 106b, Raleigh, NC 27612-6757 | 2020-10-19 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1194323410 | Natasha Radine Montoya | Registered Nurse | 5859 Cambridge Bay Dr, Charlotte, NC 28269-6120 | 2020-10-09 |
| 1952908196 | Catherine Swandby Shuford | Registered Nurse | 601 White Oak Pond Rd, Apex, NC 27523-8036 | 2020-10-01 |
| 1093322521 | Madeleine Renee Richardson | Registered Nurse | 710 Marketview Ct, Fayetteville, NC 28301-4868 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
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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.