ALBEMARLE HOSPITAL AUTHORITY; NPI #1689701989

Contact Information

ALBEMARLE HOSPITAL AUTHORITY

1144 N ROAD ST
ELIZABETH CITY, NC 27909-3473

Phone: 252-384-4168
Fax: 252-384-4677
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology
Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for ALBEMARLE HOSPITAL AUTHORITY

NPI # 1689701989

LBN Legal business name ALBEMARLE HOSPITAL AUTHORITY

Authorized official RAYMOND OWINGS - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/27/2007

Last updated 05/16/2012 - About 14 years ago

Identifiers

NC	Medicaid	89014PG
NC	Other	014TK	BCBS
NC	Other	07734	BLUE CROSS ID
NC	Other	2352735	MEDICARE PTAN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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