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Organization
RANDOLPH HOSPITAL INC.
Active
Organization
RANDOLPH HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNWOOD R WHITE (CFO)
(336) 625-5151
Entity
Organization
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 625-5151
(336) 633-7764
Mailing address
PO BOX 1048, ASHEBORO, NC 27204-1048
(336) 625-5151
(336) 633-7764
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00453
BLUE CROSS
NC
01
—
0770H
BLUE SHIELD
NC
01
—
1419Y
BC BS OF NC DIABETES
NC
05
—
3400123
—
NC
Enumeration date
10/03/2005
Last updated
03/17/2008
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