PIONEER HEALTH SERVICES OF STOKES COUNTY, INC. (NPI# 1134481674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134481674 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH SERVICES OF STOKES COUNTY, INC. |
| Other Organization Name | PIONEER FAMILY MEDICAL OF WALNUT COVE |
| Practice Address |
1072 N Main St Walnut Cove NC 27052-9312 |
| Mailing Address |
110 Pioneer Way Magee MS 39111-5501 |
| Practice Telephone | 3365917001 |
| Practice Fax Number | 3365917007 |
| Mailing Telephone | 6018496440 |
| Mailing Fax Number | 6018491318 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | MR. JOSEPH S. MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | H1065 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pioneer Family Medical of Walnut Cove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033534912 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 6740 Westfield Rd, Westfield, NC 27053-8161 | 2014-02-28 |
| 1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
| 1760807648 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 100 E Wall St, Rural Hall, NC 27045-9312 | 2014-02-28 |
| 1285060483 | Pioneer Health Services of Stokes County, Inc. | Psychiatric Unit | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2013-09-19 |
| 1518236397 | Pioneer Health Services of Stokes County, Inc. | Nurse Anesthetist, Certified Registered | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2011-12-22 |
| 1750679437 | Pioneer Health Services of Stokes County, Inc. | Skilled Nursing Facility | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2011-07-15 |
| 1891082145 | Pioneer Health Services of Stokes County, Inc. | Physical Therapist | 167 Moore Rd, King, NC 27021-8770 | 2011-07-07 |
| 1164719415 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2011-07-07 |
| 1154618809 | Pioneer Health Services of Stokes County, Inc. | Medicare Defined Swing Bed Unit | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2011-07-01 |
| 1114214871 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 402 W King St, King, NC 27021-9170 | 2011-07-01 |
| Street Address |
1072 N MAIN ST |
| City | WALNUT COVE |
| State | NC |
| Zip Code | 27052-9312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284298 | Hicks Pharmacy | Durable Medical Equipment & Medical Supplies | 1072 N Main St, Ste 103, Walnut Cove, NC 27052-9312 | 2005-06-10 |
| 1962739326 | Lori Oakley Coe, Md, Pa | Family Medicine | 1072 N Main St, Walnut Cove, NC 27052-9312 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376108191 | Clinton Jamie Edwards | Counselor | 3169 North Carolina Highway South, Walnut Cove, NC 27052 | 2019-05-07 |
| 1104198696 | Betty Presnell | Community Health Worker | 1511 Windmill Street, Walnut Cove, NC 27052 | 2012-01-31 |
| 1336386671 | Deborah L Miller | Speech-Language Pathologist | 1482 Harris Rd., Walnut Cove, NC 27052 | 2009-01-08 |
| 1962623710 | Amber Hubert | Specialist | 511 Windmill Street, Walnut Cove, NC 27052 | 2007-05-01 |
| 1093726929 | Drs Mabe & Mabe Pa | Dentist | 1218 N Main Street, Walnut Cove, NC 27052 | 2006-08-09 |
| 1104934447 | Tex Mabe | Dentist | 1218 N Main Street, Walnut Cove, NC 27052 | 2006-08-28 |
| 1013025352 | Tim Mabe | Dentist | 1218 N Main Street, Walnute Cove, NC 27052 | 2006-08-28 |
| 1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
| 1184006413 | Miranda Mckinney Mchone | Occupational Therapy Assistant | 1100 Wall Loop Rd, Walnut Cove, NC 27052-5803 | 2015-06-23 |
| 1639153083 | Cameo Bra Shop | Prosthetic/Orthotic Supplier | 1020 Hinsdale Rd, Walnut Cove, NC 27052-6802 | 2005-11-30 |
| Find all providers in zip 27052 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871807 | Little Beam Rehabilitation Services | Clinic/Center | 1745 Us Highway 64 W, Plymouth, NC 27962-9325 | 2020-11-04 |
| 1962000828 | Flash Rsn Family and Urgent Care, Pllc | Clinic/Center | 316 Summerwalk Rd, Greensboro, NC 27455-1556 | 2020-10-13 |
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1568088672 | Whole Life Chiropractic PC | Clinic/Center | 5410 Page Rd Ste 3, Durham, NC 27703-8230 | 2020-06-24 |
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1710510482 | Tailored Telehealth | Clinic/Center | 218 Westover Dr, Asheville, NC 28801-1638 | 2020-02-20 |
| 1114567930 | Metroview Healthcare Solutions Inc | Clinic/Center | 301 E John St Ste 2501, Matthews, NC 28105-4837 | 2020-01-09 |
| 1174160923 | Newell Health | Clinic/Center | 10208 Cerny St Ste 308, Raleigh, NC 27617-7885 | 2019-11-27 |
| 1871138644 | Ourhealth Physicians Group, LLC | Clinic/Center | 2335 Matthews Township Pkwy Ste 101, Matthews, NC 28105-2403 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT COVE |
| Zip Code | 27052 |
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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.