Basic Information
| Provider Information | |||||||||
| NPI: | 1467893776 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | ||||||||
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| OtherOrganizationName: | CONE HEALTH OUTPATIENT REHABILITATION AT MEDCENTER KERNERSVILLE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 N ELM ST | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274011004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368327000 | ||||||||
| FaxNumber: | 3368329305 | ||||||||
| Practice Location | |||||||||
| Address1: | 1635 NC HIGHWAY 66 S | ||||||||
| Address2: | SUITE 255 | ||||||||
| City: | KERNERSVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272843854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3369924820 | ||||||||
| FaxNumber: | 3369924821 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2013 | ||||||||
| LastUpdateDate: | 01/28/2014 | ||||||||
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| AuthorizedOfficialLastName: | JONES | ||||||||
| AuthorizedOfficialFirstName: | JEFFREY | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 3368328005 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0400X | N | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.