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STOVALL MEDICAL CENTER
NPI 1255565313
Family Medicine in Stovall, NC

Active since May 05, 2009
100 DURHAM STREET, STOVALL, NC 27582(919) 690-8880(919) 690-8882 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stovall Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STOVALL MEDICAL CENTER (NPI 1255565313) is a healthcare organization registered as a family medicine in Stovall, North Carolina and active in the NPI registry since May 2009. The organization lists Georgeen Ertischek, Adm Director, as its authorized official.

NPPES Registry Identity

NPI1255565313
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRANVILLE HEALTH INC
Location Address100 DURHAM STREETStovall, NC 27582
Mailing AddressPo Box 986Oxford, NC 27565-0986 · (919) 690-8880 · Fax (919) 690-8882
Phone(919) 690-8880
Fax(919) 690-8882
Organization SubpartNo
Authorized OfficialGeorgeen ErtischekAdm Director · (919) 690-3280
Enumeration DateMay 5, 2009
Last NPPES UpdateOctober 30, 2013
✔ NPI 1255565313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
100 DURHAM STREET, Stovall, NC 27582
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Other Names 1

Doing Business AsStovall Medical Center

Other Identifiers 2

Medicare PIN2347346BNC
Medicaid5912213NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID SCOTT LEWIS PA
Physician Assistant
100 DURHAM STREET
STOVALL, NC 27582
Granville County (919) 690-8880
RURAL HEALTH GROUP, INC.
Pharmacy (Clinic Pharmacy)
100 DURHAM STREET
STOVALL, NC 27582
Granville County (919) 690-0815
RURAL HEALTH GROUP, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
100 DURHAM STREET
STOVALL, NC 27582
Granville County (252) 536-5440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Granville Health Inc's NPI number?

The NPI number for Granville Health Inc is 1255565313. It was assigned to this organization in the NPPES registry on May 5, 2009. The provider is doing business as Stovall Medical Center.

Where is Granville Health Inc located?

Granville Health Inc is located at 100 Durham Street, Stovall, NC 27582. The listed phone number is (919) 690-8880.

What is Granville Health Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Granville Health Inc was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.