1598272379 NPI number — PITT COUNTY MEMORIAL HOSPITAL INC.

Table of content: (NPI 1598272379)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598272379 NPI number — PITT COUNTY MEMORIAL HOSPITAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PITT COUNTY MEMORIAL HOSPITAL 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:
Provider Other Organization Name Type Code:
6
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:
1598272379
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 6028
Provider Second Line Business Mailing Address:
ROOM 1CC-1105
Provider Business Mailing Address City Name:
GREENVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27835-6028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-816-2900
Provider Business Mailing Address Fax Number:
252-816-2901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 STANTONSBURG RD.
Provider Second Line Business Practice Location Address:
ROOM 1CC-1105, PHARMACY
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-816-2900
Provider Business Practice Location Address Fax Number:
252-816-2901
Provider Enumeration Date:
01/03/2018

Additional Information

Authorized Official

Authorized Official Last Name:
ZUKOWSKI
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
K
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
252-847-4582

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336S0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 13421 . This is a "BOARD OF PHARMACY PERMIT" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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