1932208576 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Table of content: (NPI 1932208576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932208576 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:
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:
1932208576
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/11/2023
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:
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-974-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2006

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: 282N00000X , with the licence number:  H0157 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3416A0800X , with the licence number: H0157 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1666522 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90657300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00350 . This is a "BCBSNC INPT PROV #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1746894 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 170261000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00155625X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3400061 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 340061 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 409160 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 414097 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9817026 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00348 . This is a "BCBSNC OUTPT PROV #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 4176405 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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