MEDICARE: NOVANT HEALTH MINT HILL MEDICAL CENTER, 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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1972001469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVANT HEALTH MINT HILL MEDICAL CENTER, 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	:	336-277-7226
Fax Number	:	336-277-9795

Provider Business Practice Location Address
First Line	:	8201 HEALTHCARE LOOP
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-7072
Country	:	US
Telephone Number	:	980-302-1000
Fax Number	:	980-302-1001

Authorized Official
Title or Position	:	PRES & COO
Name	:	ALLISON JOY GREEAR
Credential	:
Telephone Number	:	704-384-4089

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	02/05/2020

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