# MOSES CONE PHYSICIAN SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Other names:** North Star Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043703804
- **Legal business name:** THE MOSES H. CONE MEMORIAL HOSPITAL
- **Authorized official:** SALLY HAMMOND (EXECUTIVE DIRECTOR, OPERATIONS)
- **Authorized official phone:** (336) 663-5007

## Contact information

- **Practice address:** 1107 S MAIN ST, REIDSVILLE, NC 27320-5313
- **Practice address phone:** (336) 951-6070
- **Practice address fax:** (336) 634-3940
- **Mailing address:** 1107 S MAIN ST, REIDSVILLE, NC 27320-5313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2018
- **Last updated:** 07/21/2020