Organization
EAST CAROLINA HEALTH - HERITAGE INC
Active
Parent organization
EAST CAROLINA HEALTH - HERITAGE INC
Other names
Vidant Edgecombe Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CAROLINA HEALTH - HERITAGE INC
Authorized official
MR. CHARLES ALFORD (C.F.O.)
(252) 641-7131
Entity
Organization
Contact information
Practice address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7700
Mailing address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7700
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
H0258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003V
BCBS PROVIDER NUMBER
NC
05
—
3400107T
—
NC
Enumeration date
11/21/2005
Last updated
02/13/2012
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