Organization Name: | J. ARTHUR DOSHER MEMORIAL HOSPITAL |
NPI Number: | 1194016055 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS J COFFEY (CFO) |
Mailing Address: | 11 E 9th St Southport |
State: | NC US |
Postal Code: | 284613083 |
Phone Number: | 9104573800 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2011 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC0050X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Critical Access Hospital |
Taxonomy Definition: | An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |