Provider Demographics
NPI:1982819116
Name:RONALD E HUGHES
Entity Type:Organization
Organization Name:RONALD E HUGHES
Other - Org Name:WHITAKERS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-437-2171
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:105 SE RAILROAD ST
Mailing Address - City:WHITAKERS
Mailing Address - State:NC
Mailing Address - Zip Code:27891-0760
Mailing Address - Country:US
Mailing Address - Phone:252-437-2171
Mailing Address - Fax:252-437-1520
Practice Address - Street 1:105 SE RAILROAD ST
Practice Address - Street 2:
Practice Address - City:WHITAKERS
Practice Address - State:NC
Practice Address - Zip Code:27891-0760
Practice Address - Country:US
Practice Address - Phone:252-437-2171
Practice Address - Fax:252-437-1520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25149261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC343860CMedicaid
NC343860AMedicaid
NC1356327233OtherOWNER NPI
NC163WG0000XOtherWMC TAXONOMY
NC163WG0000XOtherWMC TAXONOMY
NCD27027Medicare UPIN