Organization
HARNETT HEALTH SYSTEM INC
Active
Parent organization
HARNETT HEALTH SYSTEM INC
Other names
Betsy Johnson Regional Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARNETT HEALTH SYSTEM INC
Authorized official
MR. KENNETH E BRYAN III (PRESIDENT CEO)
(910) 892-1000
Entity
Organization
Contact information
Practice address
800 TILGHMAN DR, DUNN, NC 28334-5510
(910) 892-1000
(910) 891-6032
Mailing address
PO BOX 600078, RALEIGH, NC 27675-6078
(910) 892-1000
(910) 891-6032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H0224
NC
207R00000X
Internal Medicine Physician
H0224
NC
208M00000X
Hospitalist Physician
Primary
H0224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07683
BCBS PROFESSIONAL
NC
01
—
2351443C
MEDICARE - PROFEE GROUP #
NC
01
—
8907683
MEDICAID-PROFEE GROUP #
NC
Enumeration date
06/21/2005
Last updated
04/20/2008
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