Organization
EAST CAROLINA HEALTH-BERTIE
Active
Other names
Vidant Family Medicine-Windsor, a Department of Vidant Bertie Hospital, ECU Health Family Medicine-Windsor, a department of ECU Health Bertie
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HARVILL (PRESIDENT)
(252) 482-6268
Entity
Organization
Contact information
Practice address
1403 S KING ST, WINDSOR, NC 27983-9666
(252) 794-6775
Mailing address
PO BOX 509, WINDSOR, NC 27983-0509
(252) 794-3101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0314F
BCBS PROVIDER #
NC
05
—
344623A
—
NC
05
—
344623C
—
NC
Enumeration date
01/09/2006
Last updated
03/06/2024
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