Revival A Department Of Northern Hospital

LBN: Northern Hospital Of Surry County
Revival A Department Of Northern Hospital is an health care organization with primary practice located at 110 Dutchman Ct , Elkin NC 28621-2237. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Northern Hospital Of Surry County can be contacted via phone (336) 835-5330, or through Hodgin, Robin via phone (336) 719-7019.

Contact Information

Primary practice address
110 Dutchman Ct Elkin NC 28621-2237
Phone: (336) 835-5330
Fax: (336) 526-1399
Website:
Map and Directions
Authorized official contact:
Name: Hodgin, Robin RN, MHA
Phone: (336) 719-7019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 11612 North Carolina

Profile Details

NPI number 1588099022
LBN Legal business name Northern Hospital Of Surry County
DBA Doing business as Revival A Department Of Northern Hospital
Authorized official Hodgin, Robin RN, MHA
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 3rd, 2013
Last updated Mar 9th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588099022 NPPES
Other 2141874 PK
MEDICAID 89132UV PK

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