1013265909 NPI number — THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION

Table of content: (NPI 1013265909)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013265909 NPI number — THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
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:
Provider Other Organization Name Type Code:
6
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:
1013265909
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 405633
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30384-5633
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-333-1348
Provider Business Mailing Address Fax Number:
708-342-2517

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
509-E NORTH ELAM AVENUE
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27403-1129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-832-1970
Provider Business Practice Location Address Fax Number:
336-832-1988
Provider Enumeration Date:
08/27/2012

Additional Information

Authorized Official

Authorized Official Last Name:
KITZMILLER
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
LAWRENCE
Authorized Official Title or Position:
ASSISTANT TREASURER
Authorized Official Telephone Number:
336-832-7579

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5921312 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com