Healthcare Provider Details

I. General information

NPI: 1467893776
Provider Name (Legal Business Name): THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 NC HIGHWAY 66 S SUITE 255
KERNERSVILLE NC
27284-3854
US

IV. Provider business mailing address

1200 N ELM ST
GREENSBORO NC
27401-1004
US

V. Phone/Fax

Practice location:
  • Phone: 336-992-4820
  • Fax: 336-992-4821
Mailing address:
  • Phone: 336-832-7000
  • Fax: 336-832-9305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY F JONES
Title or Position: CFO
Credential:
Phone: 336-832-8005