1851423552 NPI number — UNION MEMORIAL REGIONAL MEDICAL CENTER, INC

Table of content: (NPI 1851423552)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851423552 NPI number — UNION MEMORIAL REGIONAL MEDICAL CENTER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNION MEMORIAL REGIONAL 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:
CMC - UNION
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:
1851423552
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 HOSPITAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28112-6000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-286-3185
Provider Business Mailing Address Fax Number:
704-226-5800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28112-6000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-286-3185
Provider Business Practice Location Address Fax Number:
704-226-5800
Provider Enumeration Date:
03/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
L
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
704-283-3185

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  06001 , 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: 34-24126 . This is a "NABP NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 0905141 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06001 . This is a "NC BOARD OF PHARMACY" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".