# SAMPSON REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sampson Regional Medical Center Oncology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164500716
- **Authorized official:** MR. GERALD HEINZMAN (CFO)
- **Authorized official phone:** (910) 592-8511

## Contact information

- **Practice address:** 215 BEAMAN STREET, CLINTON, NC 28328
- **Practice address phone:** (910) 592-8511
- **Practice address fax:** (910) 592-5461
- **Mailing address:** 607 BEAMAN ST, CLINTON, NC 28328-2603
- **Mailing address phone:** (910) 590-2644
- **Mailing address fax:** (910) 592-5461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | 082-0407-A1 | NC | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020
