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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
1282NC0060XCritical 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
2700HOSOTHERNCPARTNERS
300260OTHERNCBCBS IP OP

General Provider Information

NPI Number : 1972593051
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 : 10/28/2005
Last Update Date : 04/21/2009

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1366437394 — MRS. CATHY H SHORE MD
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1740258243 — HOOTS MEMORIAL HOSPITAL INC
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1750359238 — HOOTS MEMORIAL HOSPITAL INC
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624 W MAIN ST
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1427010834 — MR. JAMES STUART MCGRATH MD
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1114975430 — MS. WANDA J BURGER LPC
Practice Location Address:
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Practice Fax: 336-849-7767

Directions to “HOOTS MEMORIAL HOSPITAL INC ” Practice Location

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