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Organization
WILMED MEDICAL CENTER INC.
Active
Organization
WILMED MEDICAL CENTER INC.
Active
Other names
Home Care of Wilson Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON D. SORENSEN (VICE-PRESIDENT & CHIEF FINANCIAL OF)
(252) 399-8230
Entity
Organization
Contact information
Practice address
1705 SOUTH TARBORO STREET, WILSON, NC 27893
(252) 399-7431
(252) 399-7369
Mailing address
1705 TARBORO STREET SW, SUITE B, WILSON, NC 27893-3428
(252) 399-8924
(252) 399-7369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0416R
BLUE CROSS AND BLUE SHIEL
NC
05
—
3408640
—
NC
05
—
6600375
—
NC
Enumeration date
01/31/2006
Last updated
10/08/2010
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