Organization
ALBEMARLE HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE KLEIN (DIRECTOR)
(252) 384-4619
Entity
Organization
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 384-4619
Mailing address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 384-4619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014TK
BLUE CROSS PRO #
NC
Enumeration date
02/27/2007
Last updated
08/22/2020
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