1659564433 NPI number — DUPLIN GENERAL HOSPITAL INCORPORATED

Table of content: (NPI 1659564433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659564433 NPI number — DUPLIN GENERAL HOSPITAL INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUPLIN GENERAL HOSPITAL INCORPORATED
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:
1659564433
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 278
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KENANSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28349-0278
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-296-2608
Provider Business Mailing Address Fax Number:
910-296-1174

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 NORTH MAIN STREET
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
KENANSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28349-9989
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-296-2608
Provider Business Practice Location Address Fax Number:
910-296-1174
Provider Enumeration Date:
08/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CASE
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
HARVEY
Authorized Official Title or Position:
VICE PRESIDENT OF FINANCIAL SERVICE
Authorized Official Telephone Number:
910-296-0941

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X , 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)





Copyright © 2007-2025 www.npivalidator.com