| Randleman Medical Center | |
|
670 W Academy St Randleman NC 27317-9748 | |
| (336) 498-8500 | |
| (336) 498-8522 |
| Full Name | Randleman Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 670 W Academy St, Randleman, North Carolina |
| Authorized Official Name and Position | Regina Faith Hodge (OWNER) |
| Authorized Official Contact | 3364988500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randleman Medical Center 670 W Academy St Randleman NC 27317-9748 Ph: (336) 498-8500 | Randleman Medical Center 670 W Academy St Randleman NC 27317-9748 Ph: (336) 498-8500 |
| NPI Number | 1477810265 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 7214199306 |
|---|---|
| Medicare Enrollment ID | O20120508000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477810265 | NPI | - | NPPES |
| 1477810265 | Other | NC | NPI |
| 5920523 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Regina Faith York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780667840 PECOS PAC ID: 6103808977 Enrollment ID: I20040604000351 |
| Provider Name | Joanna Rose Inman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457927998 PECOS PAC ID: 4789080383 Enrollment ID: I20210907003528 |
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