1083051353 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Table of content: (NPI 1083051353)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083051353 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
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:
UNC SHARED SERVICE CENTER PHARMACY-DEPARTMENT OF UNC HOSPITALS
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:
1083051353
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4400 EMPEROR BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27703-8418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-957-5603
Provider Business Mailing Address Fax Number:
866-385-5009

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4400 EMPEROR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27703-8418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-957-5603
Provider Business Practice Location Address Fax Number:
866-385-5009
Provider Enumeration Date:
05/28/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ELLINGTON
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
SCOTT
Authorized Official Title or Position:
CFO OF UNC HOSPITALS
Authorized Official Telephone Number:
984-974-5112

Provider Taxonomy Codes

  • Taxonomy code: 3336M0002X , with the licence number:  11502 , 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)