Organization
WILMED MEDICAL CENTER INC.
Active
Other names
Home Care of Wilson Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON D. SORENSEN (VICE-PRESIDENT & CHIEF FINANCIAL OF)
(252) 399-8230
Entity
Organization
Contact information
Practice address
1705 SOUTH TARBORO STREET, WILSON, NC 27893
(252) 399-7431
(252) 399-7369
Mailing address
1705 TARBORO STREET SW, SUITE B, WILSON, NC 27893-3428
(252) 399-8924
(252) 399-7369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0416R
BLUE CROSS AND BLUE SHIEL
NC
05
—
3408640
—
NC
05
—
6600375
—
NC
Enumeration date
01/31/2006
Last updated
10/08/2010
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