Organization
WASHINGTON COUNTY HOSPITAL
Active
Parent organization
WASHINGTON COUNTY HOSPITAL, INC
Other names
WASHINGTON COUNTY EMERGENCY ROOM GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON COUNTY HOSPITAL, INC
Authorized official
MARY B. AMBROSE (CONTROLLER)
(252) 793-7653
Entity
Organization
Contact information
Practice address
958 US HIGHWAY 64 E, PLYMOUTH, NC 27962-9216
(252) 793-4135
(252) 793-1530
Mailing address
PO BOX 707, PLYMOUTH, NC 27962-0707
(252) 793-4135
(252) 793-1530
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
H0006
NC
133V00000X
Registered Dietitian
H0006
NC
207L00000X
Anesthesiology Physician
H0006
NC
207P00000X
Emergency Medicine Physician
Primary
H0006
NC
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
H0006
NC
363A00000X
Physician Assistant
H0006
NC
367500000X
Certified Registered Nurse Anesthetist
H0006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07742
BCBSNC
NC
05
—
8907742
—
NC
Enumeration date
02/20/2008
Last updated
02/20/2008
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