DAVIE COUNTY EMERGENCY HEALTH CORP NPI 1588793624

NPI Information

NPI: 1588793624
Provider Name: DAVIE COUNTY EMERGENCY HEALTH CORP

Doing Business As: DAVIE COUNTY HOSPITAL & WAKE FOREST BAPTIST HEALTH-DAVIE

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
223 HOSPITAL ST
MOCKSVILLE, NC
ZIP 27028
Phone: (336) 702-5500
Get Directions

DAVIE COUNTY EMERGENCY HEALTH CORP is a medicare defined swing bed unit in Mocksville, NC. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. DAVIE COUNTY EMERGENCY HEALTH CORP NPI is 1588793624. The provider is registered as an organization entity type.
The provider Is Doing Business As Davie County Hospital & Wake Forest Baptist Health-davie.

The provider's business location address is:

223 HOSPITAL ST
MOCKSVILLE, NC
ZIP 27028-038
Phone: (336) 702-5500
Fax: (336) 702-5701

The provider's authorized official is Kevin G. Walsh .
The authorized official title is Administrator and has the following contact phone number (336) 702-5501.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 6/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	943133	NORTH CAROLINA	No
2	275N00000X	Medicare Defined Swing Bed Unit		943133	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3451313	MEDICAID	NORTH CAROLINA
2	34Z313	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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