Organization
NORTHERN HOSPITAL OF SURRY COUNTY
Active
Parent organization
NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY
Other names
Revival a Department of Northern Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY
Authorized official
MRS. ROBIN HODGIN RN, MHA (V. PRESIDENT OF PATIENT SERVICES &)
(336) 719-7019
Entity
Organization
Contact information
Practice address
110 DUTCHMAN CT, ELKIN, NC 28621-2237
(336) 835-5330
(336) 526-1399
Mailing address
PO BOX 1101, MOUNT AIRY, NC 27030-1101
(336) 719-7000
(336) 719-7199
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
11612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141874
PK
—
05
—
89132UV
—
NC
Enumeration date
09/03/2013
Last updated
03/09/2021
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