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NPI Code Detail

MEDICARE: JOHNSTON MEMORIAL HOSPITAL AUTHORITY

MEDICARE: JOHNSTON MEMORIAL HOSPITAL AUTHORITY
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1336189760
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNSTON MEMORIAL HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 509 N BRIGHTLEAF BLVD
Second Line : P.O. BOX 1376
City : SMITHFIELD
State : NC
Zip : 27577-4407
Country : US
Telephone Number : 919-934-8171
Fax Number : 919-989-7297
Provider Business Practice Location Address
First Line : 400 N ENGLEWOOD DR
Second Line :
City : KENLY
State : NC
Zip : 27542-9290
Country : US
Telephone Number : 919-284-4149
Fax Number : 919-284-6008
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : RAYMOND EDWARD SIMPSON
Credential :
Telephone Number : 919-938-7128
Provider Enumeration Date : 06/07/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1295745099 — JOHNSTON MEMORIAL HOSPITAL
Practice Location Address:
400 N ENGLEWOOD DR
KENLY, NC
27542-9290
Practice Phone: 919-284-4149
Practice Fax: 919-284-6008
1578665444 — DR. DONNA MICHELLE CAPPS M.D.
Practice Location Address:
400 N ENGLEWOOD DR
KENLY, NC
27542-9290
Practice Phone: 919-284-4149
Practice Fax: 919-284-6008
1477077089 — LACEY JEAN WILDEBOER PA
Practice Location Address:
400 N ENGLEWOOD DR
KENLY, NC
27542-9290
Practice Phone: 919-284-4149
Practice Fax: 919-284-6008
1962926964 — JOSHUA SCOTT BARNES FNP-C
Practice Location Address:
400 N ENGLEWOOD DR
KENLY, NC
27542-9290
Practice Phone: 919-284-4149
Practice Fax: 919-284-6008
1376131128 — LISA CAROL NARRON FNP-C
Practice Location Address:
400 N ENGLEWOOD DR
KENLY, NC
27542-9290
Practice Phone: 919-284-4149
Practice Fax:
1548222755 — REBECCA M LANCASTER P.A.
Practice Location Address:
101 E 2ND STREET
KENLY, NC
27542
Practice Phone: 919-284-4025
Practice Fax: 919-284-5965

Directions to “JOHNSTON MEMORIAL HOSPITAL AUTHORITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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