Organization
NEW HANOVER REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN J. OLLIE (CFO)
(910) 343-4699
Entity
Organization
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
2131 S 17TH ST, P.O. BOX 9000, WILMINGTON, NC 28401-7407
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
H0221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00393
BCBS ALL EXCEPT REHAB
NC
05
—
3400141S
—
NC
Enumeration date
11/09/2006
Last updated
01/09/2017
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