Organization
PUNGO DISTRICT HOSPITAL CORPORATION
Active
Other names
Vidant Pungo Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY CASE (PRESIDENT)
(252) 944-2208
Entity
Organization
Contact information
Practice address
202 E WATER ST, BELHAVEN, NC 27810-1450
(252) 943-2111
(252) 944-2236
Mailing address
202 E WATER ST, BELHAVEN, NC 27810-1450
(252) 943-2111
(252) 944-2236
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H0002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3451310
—
NC
Enumeration date
04/20/2006
Last updated
02/14/2012
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