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NPI Code Detail

MEDICARE: NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY

MEDICARE: NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
23336C0003XCommunity/Retail Pharmacy
33336I0012XInstitutional Pharmacy02362NC
4282N00000XGeneral Acute Care HospitalH0184NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4R103HOSOTHERBLUE MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000697OTHERANTHEM - BCBS OF VA
23409112OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
500396OTHERNCBCBS OF NC
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
75003269OTHERUNITED HEALTH CARE

General Provider Information

NPI Number : 1366449282
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY
Provider Business Mailing Address
First Line : PO BOX 1101
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-1101
Country : US
Telephone Number : 336-719-7112
Fax Number : 336-786-3752
Provider Business Practice Location Address
First Line : 830 ROCKFORD ST
Second Line :
City : MOUNT AIRY
State : NC
Zip : 27030-5322
Country : US
Telephone Number : 336-719-7112
Fax Number : 336-786-3752
Authorized Official
Title or Position : DIRECTOR, CBO
Name : RACHEL N HIATT
Credential :
Telephone Number : 336-783-8452
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/06/2025

Similar Medicare Providers

1932102407 — DR. ROBERT LEE SMITH MD
Practice Location Address:
830 ROCKFORD ST
MOUNT AIRY, NC
27030-5322
Practice Phone: 336-719-7124
Practice Fax: 336-719-7457
1932107547 — NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY
Practice Location Address:
830 ROCKFORD ST
MOUNT AIRY, NC
27030-5322
Practice Phone: 336-719-7000
Practice Fax: 336-719-7199
1154329662 — NORTHERN HOSPITAL OF SURRY COUNTY
Practice Location Address:
830 ROCKFORD ST
MOUNT AIRY, NC
27030-5322
Practice Phone: 336-719-7000
Practice Fax: 336-719-7199
1811995186 — NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY
Practice Location Address:
830 ROCKFORD ST
MOUNT AIRY, NC
27030-5322
Practice Phone: 336-719-7000
Practice Fax: 336-719-7199
1609864941 — SURRY REGIONAL HEALTH SERVICES, INC.
Practice Location Address:
830 ROCKFORD ST
MOUNT AIRY, NC
27030-5322
Practice Phone: 336-719-7000
Practice Fax:
1982663084 — DEBORAH LYNN HOLDEN M.D.
Practice Location Address:
830 ROCKFORD ST
MOUNT AIRY, NC
27030-5322
Practice Phone: 336-789-6116
Practice Fax: 336-789-6116

Directions to “NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY ” Practice Location

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