| Organization Name: | PIONEER HEALTH SERVICES OF STOKES COUNTY, INC. |
| NPI Number: | 1114214871 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH S MCNULTY (CEO) |
| Mailing Address: | 402 W King St King |
| State: | NC US |
| Postal Code: | 270219170 |
| Phone Number: | 3369839617 |
| Fax Number: | 3369839791 |
| NPI Enumeration Date: | 07/01/2011 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |