Organization
PITT COUNTY MEMORIAL HOSPITAL INC
Active
Parent organization
PITT COUNTY MEMORIAL HOSPITAL INC
Other names
Vidant Radiosurgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
PITT COUNTY MEMORIAL HOSPITAL INC
Authorized official
MR. ANDREW K ZUKOWSKI (CFO)
(252) 847-4582
Entity
Organization
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 847-4700
(252) 847-4725
Mailing address
PO BOX 6028, GREENVILLE, NC 27835-6028
(252) 847-4700
(252) 847-4725
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
2471R0002X
Radiation Therapy Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037F
BCBS
NC
05
—
5918805
—
NC
Enumeration date
04/08/2011
Last updated
09/12/2024
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