JOHNSTON HEALTH SERVICES CORPORATION (NPI# 1780628354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780628354 |
| Entity Type | Organization |
| Organization Name | JOHNSTON HEALTH SERVICES CORPORATION |
| Other Organization Name | JOHNSTON HEALTH BEHAVIORAL HEALTH SERVICES |
| Practice Address |
509 N Brightleaf Blvd Smithfield NC 27577 |
| Mailing Address |
509 N Brightleaf Blvd Attn: Eddie Klein, Cfo Smithfield NC 27577-4407 |
| Practice Telephone | 9199387540 |
| Practice Fax Number | 9199344835 |
| Mailing Telephone | 9199387128 |
| Mailing Fax Number | 9199397297 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | MR. EDWARD ALVIN KLEIN (CFO) |
| Authorized Official Telephone | 9199387128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | H0151 | NC | Hospital Units |
| Other Name | Type Code |
|---|---|
| Johnston Health Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033153606 | Johnston Health Services Corporation | Hospice, Inpatient | 426 Hospital Rd, Smithfield, NC 27577 | 2006-06-15 |
| 1902845928 | Johnston Health Services Corporation | Home Health | 514 N Brightleaf Blvd, Suite 1502, Smithfield, NC 27577 | 2006-06-05 |
| 1588069181 | Johnston Health Services Corporation | Pharmacy | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2014-10-27 |
| 1275735425 | Johnston Health Services Corporation | Nurse Anesthetist, Certified Registered | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-06-01 |
| 1578620316 | Johnston Health Services Corporation | Internal Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-01-02 |
| 1619911104 | Johnston Health Services Corporation | General Acute Care Hospital | 509 N Brightleaf Blvd, Smithfield, NC 27577 | 2006-06-15 |
| Street Address |
509 N BRIGHTLEAF BLVD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535239 | Obafemi Adewunmi | Internal Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2005-06-02 |
| 1093331936 | Adam Aydin Atik | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2020-06-16 |
| 1891336251 | Alexxis Rae Langton | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-10-07 |
| 1174086441 | Wake Emergency Physicians Pa | Emergency Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-04-12 |
| 1699259499 | Brittany Ann Jenkins | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-18 |
| 1891277810 | Kylie Mcdermott Cox | Registered Nurse | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-06 |
| 1043799208 | Edward A Fulghum | Physical Therapy Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-08-08 |
| 1629576533 | Ryan Matthew Jones | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-25 |
| 1245748946 | Avni Garg | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-16 |
| 1285146217 | Kiana Morgan Fussner | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1992240972 | Veritas Collaborative | Psychiatric Unit | 500 N Sellers St, Selma, NC 27576-2647 | 2016-12-29 |
| 1073699492 | Smoky Mountain Center for Mh/dd/sas | Psychiatric Unit | 91 Timberlane Dr, Waynesville, NC 28786 | 2006-10-27 |
| 1114905783 | East Carolina Health | Psychiatric Unit | 111 Hertford County High Rd, Ahoskie, NC 27910-8131 | 2006-01-04 |
| 1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
| 1649746678 | Mh Mission Hospital, Lllp | Psychiatric Unit | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2018-10-17 |
| 1689166605 | Dlp Maria Parham Medical Center LLC | Psychiatric Unit | 100 Hospital Dr, Louisburg, NC 27549-2256 | 2018-06-05 |
| 1386196459 | Dlp Wilson Medical Center LLC | Psychiatric Unit | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2016-10-25 |
| 1386090611 | Unc Department of Psychiatry | Psychiatric Unit | 101 Manning Dr, Campus Box #7160, Chapel Hill, NC 27599-7160 | 2016-05-05 |
| 1982079802 | The Charlotte-mecklenburg Hospital Authority | Psychiatric Unit | 301 Yadkin St, Albemarle, NC 28001-3441 | 2015-12-03 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
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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.