UNC ROCKINGHAM HEALTH CARE INC. NPI 1992830483

NPI Information

NPI: 1992830483
Provider Name: UNC ROCKINGHAM HEALTH CARE, INC.

Doing Business As: REIDSVILLE HIGH SCHOOL STUDENT HEALTH CENTER

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1901 S PARK DR
REIDSVILLE, NC
ZIP 27320
Phone: (336) 349-6443
Get Directions

UNC ROCKINGHAM HEALTH CARE, INC. is an adolescent medicine pediatrics in Reidsville, NC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. UNC ROCKINGHAM HEALTH CARE, INC. NPI is 1992830483. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Reidsville High School Student Health Center.

The provider's business location address is:

1901 S PARK DR
REIDSVILLE, NC
ZIP 27320-809
Phone: (336) 349-6443
Fax: (336) 349-6443

The provider's authorized official is Karen Ann Shadowens .
The authorized official title is Cfo, Vp and has the following contact phone number (336) 627-8512.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/17/2023.

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	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		61720	NORTH CAROLINA	No
2	163W00000X	Registered Nurse		70791	NORTH CAROLINA	No
3	207V00000X	Obstetrics & Gynecology		00-35434	NORTH CAROLINA	No
4	363LF0000X	Nurse Practitioner	Family	200698	NORTH CAROLINA	No
5	363LP0200X	Nurse Practitioner	Pediatrics	300219	NORTH CAROLINA	No
6	2080A0000X	Pediatrics	Adolescent Medicine	200400651	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	7000806	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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