| Johnston Memorial Hospital | |
|
400 N Englewood Dr Kenly NC 27542-9290 | |
| (919) 284-4149 | |
| (919) 284-6008 |
| Full Name | Johnston Memorial Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 400 N Englewood Dr, Kenly, North Carolina |
| Authorized Official Name and Position | Michael Vincent Woodbridge (DOCTOR) |
| Authorized Official Contact | 9192844149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Memorial Hospital 400 N Englewood Dr Kenly NC 27542-9290 Ph: (919) 284-4149 | Johnston Memorial Hospital 400 N Englewood Dr Kenly NC 27542-9290 Ph: (919) 284-4149 |
| NPI Number | 1295745099 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295745099 | NPI | - | NPPES |
| 891207E | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9900728 (North Carolina) | Primary |
Johnston Memorial Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Englewood Dr, Kenly, NC 27542 Phone: 919-284-4149 Fax: 919-284-6008 | |
Kenly Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 East Second Street, Kenly, NC 27542 Phone: 919-284-4025 Fax: 919-284-5965 |