THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION

Provider Demographics

• NPI: 1356372064
• Name: THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
• Entity type: Organization
• Organization Name: THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
• Authorized Official - Title/Position: CHIEF EXECUTIVE OFFICER
• Authorized Official - First Name: TERRENCE
• Authorized Official - Middle Name: BENTON
• Authorized Official - Last Name: AKIN
• Authorized Official - Phone: 336-832-9500
• Mailing Address - Street 1: 1200 NORTH ELM STREET
• Mailing Address - City: GREENSBORO
• Mailing Address - State: NC
• Mailing Address - Zip Code: 27401-1020
• Mailing Address - Country: US
• Mailing Address - Phone: 336-832-9500
• Mailing Address - Fax: 336-832-8272
• Practice Address - Street 1: 1200 N ELM ST
• Practice Address - City: GREENSBORO
• Practice Address - State: NC
• Practice Address - Zip Code: 27401-1020
• Practice Address - Country: US
• Practice Address - Phone: 336-832-9943
• Practice Address - Fax: 336-832-8272
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: THE MOSES H. CONE MEMORIAL HOSPITAL
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2006-07-05
• Last Update Date: 2015-03-19

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	122300000X	Dental Providers	Dentist		Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207RI0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Infectious Disease	Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty
No	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty
No	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Psychiatry	Group - Multi-Specialty
No	208600000X	Allopathic & Osteopathic Physicians	Surgery		Group - Multi-Specialty
No	2086S0120X	Allopathic & Osteopathic Physicians	Surgery	Pediatric Surgery	Group - Multi-Specialty
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NC	6005124	Medicaid
NC	7901337	Medicaid
NC	7902090	Medicaid
NC	89016H1	Medicaid
NC	5900509	Medicaid
NC	235083G	Medicare ID - Type Unspecified	MEDICARE
NC	6005124	Medicaid
NC	235083W	Medicare PIN
NC	235083S	Medicare PIN
NC	235083L	Medicare ID - Type Unspecified	MEDICARE
NC	89016H1	Medicaid
NC	5900509	Medicaid
NC	235083M	Medicare ID - Type Unspecified	MEDICARE
NC	235083A	Medicare PIN
NC	235083H	Medicare PIN
NC	235083 J	Medicare ID - Type Unspecified	MEDICARE
NC	7902090	Medicaid
NC	235083T	Medicare PIN