# MOREHEAD MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Morehead Urgent Care-West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194153569
- **Authorized official:** JANET WOODALL (CBO GROUP PRACTICE MANAGER)
- **Authorized official phone:** (336) 623-9711

## Contact information

- **Practice address:** 6701B NC HWY 135, MAYODAN, NC 27027-8487
- **Practice address phone:** (336) 623-9711
- **Mailing address:** PO BOX 488, EDEN, NC 27289-0488
- **Mailing address phone:** (336) 627-0362
- **Mailing address fax:** (336) 627-0778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 10/23/2013