Provider Demographics
NPI:1225360167
Name:FIVE POINTS MEDICAL CENTER INC
Entity Type:Organization
Organization Name:FIVE POINTS MEDICAL CENTER INC
Other - Org Name:FIVE POINTS MEDICAL OF RAMSEUR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-625-1172
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:RAMSEUR
Mailing Address - State:NC
Mailing Address - Zip Code:27316-0445
Mailing Address - Country:US
Mailing Address - Phone:336-824-2551
Mailing Address - Fax:336-824-2553
Practice Address - Street 1:6215 US HWY 64E
Practice Address - Street 2:
Practice Address - City:RAMSEUR
Practice Address - State:NC
Practice Address - Zip Code:27316-9538
Practice Address - Country:US
Practice Address - Phone:336-824-2551
Practice Address - Fax:336-824-2553
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIVE POINTS MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-03
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906996Medicaid
NC2321716Medicare Oscar/Certification