STOVALL MEDICAL CENTER; NPI #1720148414

Contact Information

STOVALL MEDICAL CENTER

100 DURHAM ST.
STOVALL, NC 27582

Phone: 919-690-8880
Fax: 919-690-8882
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for STOVALL MEDICAL CENTER

NPI # 1720148414

LBN Legal business name STOVALL MEDICAL CENTER

Authorized official CRISTINA BLALOCK - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2006

Last updated 05/12/2008 - About 18 years ago

Identifiers

NC	Medicaid	5906025
NC	Other	018XG	BCBS
NC	Other	5821143	CIGNA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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