Organization
GRANVILLE HEALTH SYSTEM
Active
Other names
Brantwood Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE PURVIS (CFO)
(919) 690-3237
Entity
Organization
Contact information
Practice address
1038 COLLEGE ST, POB 1006, OXFORD, NC 27565-2507
(919) 690-3334
(919) 690-0952
Mailing address
1038 COLLEGE ST, POB 1006, OXFORD, NC 27565-2507
(919) 690-3334
(919) 690-0952
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081W
BCBS PROVIDER #
NC
05
—
3405412
—
NC
05
—
340600V
—
NC
Enumeration date
08/07/2006
Last updated
10/11/2024
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