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NPI Code Detail

MEDICARE: HOOTS MEMORIAL HOSPITAL INC

MEDICARE: HOOTS MEMORIAL HOSPITAL INC
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
1275N00000XMedicare Defined Swing Bed Hospital UnitH0155NC
2282NC0060XCritical Access HospitalH0155NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750359238
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOOTS MEMORIAL HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 68
Second Line :
City : YADKINVILLE
State : NC
Zip : 27055-0068
Country : US
Telephone Number : 336-679-6776
Fax Number : 336-679-6716
Provider Business Practice Location Address
First Line : 624 W MAIN ST
Second Line :
City : YADKINVILLE
State : NC
Zip : 27055-7804
Country : US
Telephone Number : 336-679-6776
Fax Number : 336-679-6716
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MRS. JULIA NORMAN
Credential :
Telephone Number : 336-679-6776
Provider Enumeration Date : 03/09/2006
Last Update Date : 04/21/2009

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1740258243 — HOOTS MEMORIAL HOSPITAL INC
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1114975430 — MS. WANDA J BURGER LPC
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Directions to “HOOTS MEMORIAL HOSPITAL INC ” 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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