1801831102 NPI number — MURPHY MEDICAL CENTER INC

Table of content: (NPI 1801831102)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801831102 NPI number — MURPHY MEDICAL CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MURPHY MEDICAL CENTER INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ERLANGER MURPHY MEDICAL CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801831102
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/15/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3990 E US HIGHWAY 64 ALT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MURPHY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28906-6843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-835-7502
Provider Business Mailing Address Fax Number:
828-835-7507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3990 E US HIGHWAY 64 ALT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-835-7502
Provider Business Practice Location Address Fax Number:
828-835-7507
Provider Enumeration Date:
06/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHAVER
Authorized Official First Name:
MIKE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF REIMBURSEMENT
Authorized Official Telephone Number:
423-778-4712

Provider Taxonomy Codes

  • Taxonomy code: 133NN1002X , with the licence number:  81248 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282NC0060X , with the licence number: H0239 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1801831102 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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