NORTHERN HOSPITAL OF SURRY COUNTY (NPI# 1588099022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588099022 |
| Entity Type | Organization |
| Organization Name | NORTHERN HOSPITAL OF SURRY COUNTY |
| Other Organization Name | REVIVAL A DEPARTMENT OF NORTHERN HOSPITAL |
| Practice Address |
110 Dutchman Ct Elkin NC 28621-2237 |
| Mailing Address |
Po Box 1101 Mount Airy NC 27030-1101 |
| Practice Telephone | 3368355330 |
| Practice Fax Number | 3365261399 |
| Mailing Telephone | 3367197000 |
| Mailing Fax Number | 3367863765 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2018-03-14 |
| Authorized Official Name | MRS. ROBIN HODGIN (V. PRESIDENT OF PATIENT SERVICES &) |
| Authorized Official Telephone | 3367197019 |
| Authorized Official Credential | RN, MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
11612 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89132UV | 05 | |
| PK | 2141874 | 01 |
| Other Name | Type Code |
|---|---|
| Revival a Department of Northern Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008967 | Northern Hospital of Surry County | Clinical Medical Laboratory | 830 Rockford St, Mount Airy, NC 27030-5322 | 2020-03-18 |
| 1710427091 | Northern Hospital of Surry County | Internal Medicine | 708 S South St, Suite 200, Mount Airy, NC 27030-4589 | 2017-03-06 |
| 1689114969 | Northern Hospital of Surry County | Orthopaedic Surgery | 314 S South St, Mount Airy, NC 27030-4491 | 2017-03-06 |
| 1114467404 | Northern Hospital of Surry County | Internal Medicine | 830 Rockford St, Mount Airy, NC 27030-5322 | 2017-03-06 |
| 1215477591 | Northern Hospital of Surry County | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2017-03-06 |
| 1386184661 | Northern Hospital of Surry County | Obstetrics & Gynecology | 510 S South St, Mount Airy, NC 27030-4422 | 2017-03-06 |
| 1225578511 | Northern Hospital of Surry County | Urology | 423 S South St, Mount Airy, NC 27030-4576 | 2017-03-06 |
| 1700326089 | Northern Hospital of Surry County | Surgery | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2017-03-06 |
| 1225578792 | Northern Hospital of Surry County | Internal Medicine | 708 S South St, Suite 100, Mount Airy, NC 27030-4589 | 2017-03-03 |
| 1205376688 | Northern Hospital of Surry County | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2017-03-03 |
| Street Address |
110 DUTCHMAN CT |
| City | ELKIN |
| State | NC |
| Zip Code | 28621-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578543997 | Donna Kay Davis | Nurse Practitioner | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2006-01-20 |
| 1114416971 | Matthew Jon Slawter | Nurse Practitioner | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2018-05-08 |
| 1205376688 | Northern Hospital of Surry County | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2017-03-03 |
| 1225379910 | Surry Regional Health Services Inc. | Anesthesiology | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2013-03-06 |
| 1194023051 | Revival Pain Management, Inc | Family Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2011-03-02 |
| 1164729257 | Revival Pain Management, Inc | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2011-02-25 |
| 1265514194 | Ben Alfred Raines | Family Medicine | 110 Dutchman Ct, Elkin, NC 28621 | 2006-10-19 |
| 1801813712 | Revival Pain Management Inc | Anesthesiology | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2006-07-16 |
| 1205897956 | Richard James Stork | Pain Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
| 1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
| 1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
| 1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
| 1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
| 1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
| 1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
| 1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
| 1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
| 1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
| Find all providers in zip 28621 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1548743826 | Asheville Mountain Pharmacy Inc | Pharmacy | 1272 Tunnel Rd Ste 20, Asheville, NC 28805-2100 | 2018-09-12 |
| 1770006355 | Surry Medical Ministries Clinic | Pharmacy | 813 Rockford St, Mount Airy, NC 27030-5321 | 2017-07-25 |
| 1235514860 | Student Stores Pharmacy | Pharmacy | Cb 1530 Daniels Building, 207 South Road, Chapel Hill, NC 27599-0001 | 2015-07-24 |
| 1366863144 | Helping Hands Clinic, Inc. | Pharmacy | 810 Harper Ave Nw, Lenoir, NC 28645-5083 | 2013-12-23 |
| 1174876189 | Campbell University Health Center, LLC | Pharmacy | 129 T. T. Lanier Street, Buies Creek, NC 27506 | 2012-10-16 |
| 1942535232 | Quality Care Pharmacy of The Sandhills | Pharmacy | 1103 Seven Lakes Drive, 6541 Seven Lakes Village, West End, NC 27376-9314 | 2009-10-05 |
| 1144355116 | Forsyth County North Carolina | Pharmacy | 725 N. Highland Ave, Winston-salem, NC 27101-4299 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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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.