1861415804 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Table of content: (NPI 1346556388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861415804 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 HOSPITALS ORAL MEDICINE
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:
1861415804
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5221 PARAMOUNT PKWY STE 440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27560-5491
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
984-974-1186
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 MANNING DR
Provider Second Line Business Practice Location Address:
UNC HOSPITALS DENTAL CLINIC
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-974-1186
Provider Business Practice Location Address Fax Number:
984-974-1311
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HADAR
Authorized Official First Name:
JANET
Authorized Official Middle Name:
TERESA
Authorized Official Title or Position:
PRESIDENT, UNC HOSPITALS
Authorized Official Telephone Number:
984-974-2819

Provider Taxonomy Codes

  • Taxonomy code: 122300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133VN1004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2489126 . This is a "UHC PEDS CONTINUITY" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: B0088 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2120334 . This is a "ALLIANCE/MAMSI UCC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2638607 . This is a "UHC UCC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3106615 . This is a "ALLIANCE/MAMSI PEDS CONT" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 016NX . This is a "BCBS NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 127402 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2053HOS . This is a "PARTNERS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 89016NX , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 89016K2 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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