Organization
EAST CAROLINA HEALTH - CHOWAN INC
Active
Parent organization
EAST CAROLINA HEALTH - CHOWAN INC
Other names
Vidant Chowan Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CAROLINA HEALTH - CHOWAN INC
Authorized official
MR. JEFFREY N. SACKRISON (PRESIDENT)
(252) 482-6268
Entity
Organization
Contact information
Practice address
211 VIRGINIA RD, EDENTON, NC 27932-9668
(252) 482-8451
(252) 482-6274
Mailing address
PO BOX 629, EDENTON, NC 27932-0629
(252) 482-8451
(252) 482-6274
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H0063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004W
BCBS PROVIDER #
NC
05
—
3451318
—
NC
05
—
3461318
—
NC
Enumeration date
01/06/2006
Last updated
02/14/2012
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