WILSON MEDICAL CENTER, INC. (NPI# 1336423102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336423102 |
| Entity Type | Organization |
| Organization Name | WILSON MEDICAL CENTER, INC. |
| Other Organization Name | WILSON MEDICAL CENTER REFERENCE LAB |
| 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 | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | MR. RICHARD E. HUDSON (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2523998139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Wilson Medical Center Reference Lab | 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 |
| 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 |
| 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 |
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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1083991210 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1700 Tarboro Street Se, Ste 103, Wilson, NC 27893-3481 | 2011-11-16 |
| 1386123842 | App-ecp, LLC | Clinical Medical Laboratory | 2693 Forest Hills Rd Sw Ste B, Wilson, NC 27893-8611 | 2018-08-07 |
| 1265966881 | Stepping Stones Community Resources, Inc | Clinical Medical Laboratory | 2519 Airport Blvd Nw, Wilson, NC 27896-9603 | 2017-04-20 |
| 1245764869 | Stepping Stones Community Resources, Inc | Clinical Medical Laboratory | 2501 Airport Blvd Nw, Wilson, NC 27896-9673 | 2017-04-20 |
| 1285056986 | Dlp Wilson Medical Center LLC | Clinical Medical Laboratory | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-15 |
| 1578708368 | App-ecp, LLC | Clinical Medical Laboratory | 2693 Forest Hills Rd Sw, Suite B, Wilson, NC 27893 | 2008-12-08 |
| 1629066121 | Eastern Carolina Pathology Inc | Clinical Medical Laboratory | 2693 Forest Hills Rd Sw Ste B, Wilson, NC 27893-8611 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987170 | Wakemed | Clinical Medical Laboratory | Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2020-09-21 |
| 1295341006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 125 Queens Rd Ste 370, Charlotte, NC 28204-3215 | 2020-09-17 |
| 1801407697 | Alicia Shook | Clinical Medical Laboratory | 417 Biltmore Ave # Stu4c, Asheville, NC 28801-4501 | 2020-08-14 |
| 1861016594 | Zenith Labs LLC | Clinical Medical Laboratory | 3000 Bethesda Pl Ste 201, Winston Salem, NC 27103-3324 | 2020-05-28 |
| 1730708215 | Trucore Laboratories, LLC | Clinical Medical Laboratory | 608 W King St Ste 2, Kings Mountain, NC 28086-3358 | 2020-04-14 |
| 1962039867 | Laboratory Corporation of America | Clinical Medical Laboratory | 5450 Millstream Rd, Mc Leansville, NC 27301-9697 | 2020-03-23 |
| 1538799358 | Scipher Medicine Corporation | Clinical Medical Laboratory | 4134 S Alston Ave Ste 104, Durham, NC 27713-1870 | 2020-01-21 |
| 1225685613 | Vero Diagnostics | Clinical Medical Laboratory | 1095 Investment Blvd, Apex, NC 27502-1799 | 2019-08-21 |
| 1538716113 | Karany's Veracity Company,llc | Clinical Medical Laboratory | 1816 E Arbors Dr Ste 440, Charlotte, NC 28262-2666 | 2019-08-20 |
| 1487212551 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4380 Federal Dr Ste 100, Greensboro, NC 27410-8149 | 2019-06-03 |
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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.