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Organization

WILSON MEDICAL CENTER, INC.

Active
Parent organization
WILSON MEDICAL CENTER, INC.
Other names
Hospice of Wilson Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
WILSON MEDICAL CENTER, INC.
Authorized official
MR. DAMON D. SORENSEN (VICE-PRESIDENT & CHIEF FINANCIAL OF)
(252) 399-8138
Entity
Organization

Contact information

Practice address
1705 TARBORO STREET ,SW, WILSON, NC 27893-3428
(252) 399-8924
(252) 399-7369
Mailing address
1705 TARBORO STREET, SW, WILSON, NC 27893-3428
(252) 399-8924
(252) 399-7369

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOS0408
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0022F
BCBS PROVIDER #
NC
01
0738150
CIGNA PROVIDER #
NC
05
3401532
NC
Enumeration date
02/08/2006
Last updated
10/08/2010
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