Organization
NORTH CAROLINA SPECIALTY HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3916 BEN FRANKLIN BLVD, DURHAM, NC 27704-2383
(919) 956-9300
(919) 287-3237
Mailing address
PO BOX 15819, DURHAM, NC 27704
(919) 956-9300
(919) 287-3237
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400049
—
NC
Enumeration date
11/14/2006
Last updated
03/01/2023
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