# NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Northern Regional Medical Center-SNF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750298030
- **Authorized official:** BEVERLY EUART (FACILITY CREDENTIALING)
- **Authorized official phone:** (336) 277-8757

## Contact information

- **Practice address:** 830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
- **Practice address phone:** (336) 277-8757
- **Mailing address:** 2085 FRONTIS PLAZA BLVD FL 3, WINSTON SALEM, NC 27103-5614
- **Mailing address phone:** (336) 277-8757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2026
- **Last updated:** 08/25/2026
