Provider Demographics
NPI:1568463289
Name:HIGH POINT REGIONAL HEALTH
Entity Type:Organization
Organization Name:HIGH POINT REGIONAL HEALTH
Other - Org Name:HIGH POINT REGIONAL REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF HIGH POINT REGIONAL HO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEKSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-716-8021
Mailing Address - Street 1:601 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4331
Mailing Address - Country:US
Mailing Address - Phone:336-878-6000
Mailing Address - Fax:
Practice Address - Street 1:601 N ELM ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4331
Practice Address - Country:US
Practice Address - Phone:336-878-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGH POINT REGIONAL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-03
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0052273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC001CTOtherNC BLUE CROSS
NC3400004TMedicaid
NC34T004Medicare Oscar/Certification