PIONEER HEALTH SERVICES OF STOKES COUNTY INC. NPI 1912294687

NPI Information

NPI: 1912294687
Provider Name: PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.

Doing Business As: PIONEER FAMILY MEDICAL OF DANBURY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1020 HOSPICE DRIVE
DANBURY, NC
ZIP 27016
Phone: (336) 593-8281
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PIONEER HEALTH SERVICES OF STOKES COUNTY, INC. is a rural health clinic center in Danbury, NC. PIONEER HEALTH SERVICES OF STOKES COUNTY, INC. NPI is 1912294687. The provider is registered as an organization entity type.
The provider Is Doing Business As Pioneer Family Medical Of Danbury.

The provider's business location address is:

1020 HOSPICE DRIVE
DANBURY, NC
ZIP 27016-000
Phone: (336) 593-8281
Fax: (336) 593-5282

The provider's authorized official is Joseph S Mcnulty .
The authorized official title is Ceo and has the following contact phone number (601) 849-6440.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 5/16/2013.

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	261QR1300X	Clinic/Center	Rural Health			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	34-8963	MEDICARE PIN	NORTH CAROLINA
2	5918563	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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