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REVIVAL A DEPARTMENT OF NORTHERN HOSPITAL
NPI 1588099022
Pharmacy - Clinic Pharmacy in Elkin, NC

Active since September 03, 2013
110 DUTCHMAN CT, ELKIN, NC 28621(336) 835-5330(336) 526-1399 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2021, Mar 14, 2018, Oct 26, 2017 (3 updates tracked since 2017).

About Revival A Department Of Northern Hospital NPPES

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

REVIVAL A DEPARTMENT OF NORTHERN HOSPITAL (NPI 1588099022) is a healthcare organization registered as a clinic pharmacy in Elkin, North Carolina and active in the NPI registry since September 2013. The organization lists Robin Hodgin, V. President Of Patient Services &, as its authorized official.

NPPES Registry Identity

NPI1588099022
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameNORTHERN HOSPITAL OF SURRY COUNTY
Location Address110 DUTCHMAN CTElkin, NC 28621-2237
Mailing AddressPo Box 1101Mount Airy, NC 27030-1101 · (336) 719-7000 · Fax (336) 719-7199
Phone(336) 835-5330
Fax(336) 526-1399
Organization SubpartYesParent: Northern Hospital District Of Surry County
Authorized OfficialRobin HodginV. President Of Patient Services & · (336) 719-7019
Enumeration DateSeptember 3, 2013
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1588099022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in NC · 11612
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
110 DUTCHMAN CT, Elkin, NC 28621
Open in Google Maps ↗

Other Names 1

Doing Business AsRevival A Department Of Northern Hospital

Other Identifiers 2

Medicaid89132UVNC
Other2141874Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 14

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

CHERYL RENAE ABERSOLD DNP, FNP
Nurse Practitioner (Family)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
RACHEL DANIELLE STANLEY NP-C
Nurse Practitioner (Family)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
NORTHERN HOSPITAL OF SURRY COUNTY
Pain Medicine (Pain Medicine)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-5330
MR. RICHARD JAMES STORK MD
Pain Medicine (Interventional Pain Medicine)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-5330
SURRY REGIONAL HEALTH SERVICES INC.
Anesthesiology (Pain Medicine)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-5330
CHRISTY JONES LEUPOLD NP
Nurse Practitioner (Family)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
HIGH COUNTRY COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
HIGH COUNTRY COMMUNITY HEALTH
Pharmacy (Community/Retail Pharmacy)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337

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 Northern Hospital Of Surry County's NPI number?

The NPI number for Northern Hospital Of Surry County is 1588099022. It was assigned to this organization in the NPPES registry on September 3, 2013. The provider is doing business as Revival A Department Of Northern Hospital.

Where is Northern Hospital Of Surry County located?

Northern Hospital Of Surry County is located at 110 Dutchman Ct, Elkin, NC 28621. The listed phone number is (336) 835-5330.

What is Northern Hospital Of Surry County's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Northern Hospital Of Surry County accept?

Health plans from Medica and Moda Health Plan, Inc. list Northern Hospital Of Surry County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Hospital Of Surry County was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.