Organization
EAST CAROLINA HEALTH
Active
Parent organization
EAST CAROLINA HEALTH
Other names
ECU Health Roanoke-Chowan Hospital, Vidant Roanoke Chowan Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CAROLINA HEALTH
Authorized official
MR. BRIAN J HARVILL (PRESIDENT)
(252) 209-3173
Entity
Organization
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3170
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-3170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0001
NC
208VP0014X
Interventional Pain Medicine Physician
H0001
NC
367500000X
Certified Registered Nurse Anesthetist
H0001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254P
BCBS PROFESSIONAL GRP #
NC
05
—
690280F
—
NC
05
—
8000251
—
NC
01
—
CH9789
RR MEDICARE
NC
Enumeration date
01/05/2006
Last updated
03/12/2025
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