# SURGICENTER OF EASTERN CAROLINA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ECU Health SurgiCenter, Vidant SurgiCenter
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124285515
- **Authorized official:** MR. STEPHEN TRIPP (PRESIDENT)
- **Authorized official phone:** (252) 847-7723

## Contact information

- **Practice address:** 102 BETHESDA DR, GREENVILLE, NC 27834-7201
- **Practice address phone:** (252) 847-7700
- **Mailing address:** 2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
- **Mailing address phone:** (252) 847-7700
- **Mailing address fax:** (252) 847-7784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NC | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0062W | BCBS | NC |
| 05 | — | 3419860 | — | NC |