1982819116 NPI number — RONALD E HUGHES

Table of content: (NPI 1982819116)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982819116 NPI number — RONALD E HUGHES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RONALD E HUGHES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WHITAKERS MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982819116
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 760
Provider Second Line Business Mailing Address:
105 SE RAILROAD ST
Provider Business Mailing Address City Name:
WHITAKERS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27891-0760
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-437-2171
Provider Business Mailing Address Fax Number:
252-437-1520

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 SE RAILROAD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITAKERS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27891-0760
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-437-2171
Provider Business Practice Location Address Fax Number:
252-437-1520
Provider Enumeration Date:
05/11/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HUGHES
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
EUGENE
Authorized Official Title or Position:
PHYSICIAN OWNER
Authorized Official Telephone Number:
252-437-2171

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X , with the licence number:  25149 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 343860C , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 343860A , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1356327233 . This is a "OWNER NPI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 163WG0000X . This is a "WMC TAXONOMY" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".