HOSPICE OF SURRY COUNTY INC NPI 1851355424

NPI Information

NPI: 1851355424
Provider Name: HOSPICE OF SURRY COUNTY, INC

Doing Business As: MOUNTAIN VALLEY HOSPICE AND PALLIATIVE CARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
105 N CRUTCHFIELD ST UNIT 2
DOBSON, NC
ZIP 27017
Phone: (336) 789-2922
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HOSPICE OF SURRY COUNTY, INC is a hospice care community based in Dobson, NC. HOSPICE OF SURRY COUNTY, INC NPI is 1851355424. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Valley Hospice And Palliative Care.

The provider's business location address is:

105 N CRUTCHFIELD ST UNIT 2
DOBSON, NC
ZIP 27017-804
Phone: (336) 789-2922
Fax: (336) 789-0856

The provider's authorized official is Tracey Smith Dobson .
The authorized official title is Interim Ceo and has the following contact phone number (336) 789-2922.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 9/28/2023.

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	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based	HOS0404	NORTH CAROLINA	No
2	251G00000X	Hospice Care, Community Based	HOS1303	NORTH CAROLINA	No
3	251G00000X	Hospice Care, Community Based	HC1498	NORTH CAROLINA	No
4	251G00000X	Hospice Care, Community Based	HOS1001	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	3401546	MEDICAID	NORTH CAROLINA
2	0020M	OTHER	NORTH CAROLINA	BCBS

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: 5/5/2024

NPI Synchronization or Removal

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