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NPI Code Detail

MEDICARE: LOUISBURG NOVANT LLC

MEDICARE: LOUISBURG NOVANT LLC
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
1282N00000XGeneral Acute Care Hospital80261NC

Other Identifiers

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

General Provider Information

NPI Number : 1801866140
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISBURG NOVANT LLC
Provider Business Mailing Address
First Line : 2085 FRONTIS PLAZA BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-5614
Country : US
Telephone Number : 919-496-5131
Fax Number : 919-496-3689
Provider Business Practice Location Address
First Line : 100 HOSPITAL DR
Second Line :
City : LOUISBURG
State : NC
Zip : 27549-2256
Country : US
Telephone Number : 919-496-5131
Fax Number : 919-496-3689
Authorized Official
Title or Position : CFO
Name : FRED M. HARGETT JR.
Credential :
Telephone Number : 704-384-5184
Provider Enumeration Date : 01/26/2006
Last Update Date : 04/01/2013

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Directions to “LOUISBURG NOVANT LLC ” Practice Location

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