# THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Other names:** Cone Adolescent Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003168303
- **Legal business name:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Authorized official:** MR. ROBERT T. RICE (PRESIDENT AND CEO)
- **Authorized official phone:** (336) 832-9500

## Contact information

- **Practice address:** 1131C N CHURCH ST, ROOM 4, GREENSBORO, NC 27401-1007
- **Practice address phone:** (336) 832-7867
- **Practice address fax:** (336) 832-7869
- **Mailing address:** 1200 N ELM ST, ADMINISTRATIVE SERVICE BUILDING, SUITE 201, GREENSBORO, NC 27401-1004
- **Mailing address phone:** (336) 832-9513
- **Mailing address fax:** (336) 832-8272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 111NP0017X | Pediatric Chiropractor | — | NULL | — |
| 111NP0017X | Pediatric Chiropractor | — | — | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | — |
| 2086S0120X | Pediatric Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 10/11/2012