# OUR COMMUNITY HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710002258
- **Authorized official:** ANGELA T HICKS (CONTROLLER)
- **Authorized official phone:** (252) 826-4144

## Contact information

- **Practice address:** 921 JR HIGH SCHOOL RD, SCOTLAND NECK, NC 27874-1219
- **Practice address phone:** (252) 826-4144
- **Mailing address:** 921 JR HIGH SCHOOL RD, SCOTLAND NECK, NC 27874-1219
- **Mailing address phone:** (252) 826-4144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 9047 | NC | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8920635 | — | NC |
