WILSON MEDICAL CENTER, INC.


Address: 1705 Tarboro St Sw, Wilson, NC 27893-3428
Phone: 2523998040

WILSON MEDICAL CENTER, INC. (NPI# 1215218961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215218961
Entity Type Organization
Organization Name WILSON MEDICAL CENTER, INC.
Other Organization Name WILSON MEDICAL CENTER MEDICAL NUTRIONAL THERAPY
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 2011-09-07
Last Update Date 2011-09-07
Authorized Official Name MR. RICHARD E. HUDSON (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
Authorized Official Telephone 2523998139
Is Organization Subpart Y
Parent Organization Name WILSON MEDICAL CENTER, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered H0210 NC Dietary & Nutritional Service Providers

Other Provider/Organization Names

Other Name Type Code
Wilson Medical Center Medical Nutrional Therapy Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 1705 TARBORO ST SW
City WILSON
State NC
Zip Code 27893-3428

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659840403 Hannah Lee Tripp Dietitian, Registered 1440 N West St., Wilson, WY 83014 2018-11-21
1689963936 Cindy R Rhodes Dietitian, Registered 2207 Sulgrave Dr Nw, Wilson, NC 27896-1351 2011-04-06
1295849511 Belinda Renae Kasper Dietitian, Registered 136 8th Rd, Wilson, KS 67490-8717 2006-08-17
1184644551 Erin Marie Davis Dietitian, Registered N15019 Hannahville B1 Rd, Wilson, MI 49896 2006-07-20
1790108629 Dlp Wilson Medical Center LLC Dietitian, Registered 1705 Tarboro St Sw, Wilson, NC 27893-3428 2014-01-29
1932521010 Dlp Wilson Physician Practices LLC Dietitian, Registered 1700 Tarboro St W, Ste. 100, Wilson, NC 27893-3481 2014-01-09
1184989493 Amber Burgess Dietitian, Registered 1801 Glendale Dr Sw, Wilson, NC 27893-4401 2012-07-12
1245531086 Kay Finch Johnson Dietitian, Registered 1705 Tarboro St Sw, Wilson, NC 27893-3428 2010-11-10
1093015729 Terresa Williams Taylor Dietitian, Registered 1705 Tarboro St Sw, Wilson, NC 27893-3428 2010-10-28
1689984874 Melissa Parbst Dietitian, Registered 1705 Tarboro St Sw, Wilson, NC 27893-3428 2010-10-21
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Competitor

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City WILSON
Zip Code 27893

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Dataset Information

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.

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