Healthcare Provider Details

I. General information

NPI: 1417802521
Provider Name (Legal Business Name): NOVANT HEALTH STOKES MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3853 US 311 HWY N
PINE HALL NC
27042-8184
US

IV. Provider business mailing address

PO BOX 604498
CHARLOTTE NC
28260-4498
US

V. Phone/Fax

Practice location:
  • Phone: 336-427-3076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRANDY MELISSA BAKER
Title or Position: RCS SUPERVISOR
Credential:
Phone: 704-316-6081