Organization
NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY
Active
Other names
Northern Skilled Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN ALLEN (DIRECTOR CENTRAL BILLING)
(336) 719-7129
Entity
Organization
Contact information
Practice address
830 ROCKFORD ST, MOUNT AIRY, NC 27030-5322
(336) 719-7000
(336) 719-7199
Mailing address
PO BOX 1101, MOUNT AIRY, NC 27030-1101
(336) 719-7000
(336) 719-7199
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H0184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087J
BCBS OF NC SNF PROV NUM
NC
05
—
3405278
—
NC
05
—
3496547
—
NC
01
—
431531
ANTHEM SNF PROVIDER #
—
Enumeration date
07/08/2005
Last updated
02/03/2025
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