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1326313537 NPI number — MOUNT EAGLE HEALTH CARE

NPI Number: 1326313537
Health Care Provider/Practitioner: MOUNT EAGLE HEALTH CARE

Information about “1326313537” NPI (MOUNT EAGLE HEALTH CARE) exists in 1326313537 in HTML format HTML  |  1326313537 in plain Text format TXT  |  1326313537 in PDF (Portable Document Format) PDF  |  1326313537 in an XML format XML  formats.

NPI Number : 1326313537 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326313537",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MOUNT EAGLE INSTITUTE",
    "ParentOrgTIN": null,
    "OrgName": "MOUNT EAGLE HEALTH CARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "470 W HANES MILL RD STE 105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINSTON SALEM",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27105-9102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-776-0357",
    "MailingAddressFaxNumber": "336-499-2002",
    "FirstLinePracticeLocationAddress": "470 W HANES MILL RD STE 109",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINSTON SALEM",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27105-9102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-776-0357",
    "PracticeLocationAddressFaxNumber": "336-499-2002",
    "EnumerationDate": "03/21/2012",
    "LastUpdateDate": "03/22/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MMANYWA",
    "AuthorizedOfficialFirstName": "DOROTHY",
    "AuthorizedOfficialMiddleName": "EDWARD",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, MSN",
    "AuthorizedOfficialTelephoneNumber": "336-776-8601",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "HC3525",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": "HC3525",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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