HOSPICE OF WILSON MEDICAL CENTER
NPI 1366415630
Hospice Care, Community Based in Wilson, NC

NPI Status: Active since February 08, 2006

Contact Information

1705 TARBORO STREET ,SW
WILSON, NC
ZIP 27893
Phone: (252) 399-8924
Fax: (252) 399-7369

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 34D2130338
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 05-07-2027

About HOSPICE OF WILSON MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Hospice Of Wilson Medical Center, a provider established in Wilson, North Carolina operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1366415630 assigned on February 2006. The practitioner's primary taxonomy code is 251G00000X with license number HOS0408 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Hospice Of Wilson Medical Center. The authorized official of this NPI record is Mr. Damon D. Sorensen (Vice-president & Chief Financial Of)

NPI
1366415630
Provider Legal Name
WILSON MEDICAL CENTER, INC.
Other Organization Name
HOSPICE OF WILSON MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1705 TARBORO STREET ,SW WILSON, NC 27893
Location Phone
(252) 399-8924
Location Fax
(252) 399-7369
Mailing Address
1705 TARBORO STREET, SW WILSON, NC 27893
Mailing Phone
(252) 399-8924
Mailing Fax
(252) 399-7369
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-08-2006
Last Update Date
10-08-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
HOS0408
License State
NC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAMON D. SORENSEN

Authorized Official Title
VICE-PRESIDENT & CHIEF FINANCIAL OF
Authorized Official Phone
(252) 399-8138

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
341532MEDICARE PIN (08) 
0022FOTHER (01)NCBCBS PROVIDER #
0738150OTHER (01)NCCIGNA PROVIDER #
3401532MEDICAID (05)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2130338
Facility Type
Hospice
Certificate Effective Date
May 08, 2025
Certificate Expiration Date
May 07, 2027
Laboratory Director
SCOTTIE GOODWIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hospice Of Wilson Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366415630, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 8 + 1 + 1 + 0 + 6 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1366415630.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366415630, enumerated as an "organization" on February 08, 2006.

The provider is located at 1705 TARBORO STREET ,SW WILSON, NC 27893 and the phone number is (252) 399-8924.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.