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Organization
SAMPSON REGIONAL MEDICAL CENTER
Active
Organization
SAMPSON REGIONAL MEDICAL CENTER
Active
Parent organization
SAMPSON REGIONAL MEDICAL CENTER
Other names
SAMPSON HOME HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMPSON REGIONAL MEDICAL CENTER
Authorized official
GERALD THOMAS HEINZMAN JR. (CEO)
(910) 590-8729
Entity
Organization
Contact information
Practice address
508 BEAMAN ST, CLINTON, NC 28328-2602
(910) 590-5312
(910) 590-5305
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 596-4262
(910) 592-5461
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0257
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075T
BCBS
NC
05
—
3407064
—
NC
Enumeration date
03/30/2007
Last updated
08/25/2021
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