| Organization Name: | GATES COUNTY MEDICAL CENTER LLC |
| NPI Number: | 1639217631 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SYLVIA P BOONE (OFFICE MANAGER) |
| Mailing Address: | 501 Main St Gatesville |
| State: | NC US |
| Postal Code: | 279389424 |
| Phone Number: | 2523571226 |
| Fax Number: | 2523571236 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 12/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |