Organization
BAPTIST HOSPITAL HOME RX
Active
Parent organization
NORTH CAROLINA BAPTIST HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CAROLINA BAPTIST HOSPITAL
Authorized official
MR. ROBERT S PARKER (PRESIDENT)
(336) 716-5220
Entity
Organization
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-8075
(336) 713-8029
Mailing address
PO BOX 602078, CHARLOTTE, NC 28260-2078
(336) 713-8075
(336) 713-8029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010098874
—
VA
05
—
010099331
—
VA
05
—
0347272
—
NC
01
—
3439874
NCPDP
NC
05
—
6800482
—
NC
05
—
7704286
—
NC
Enumeration date
01/18/2007
Last updated
10/30/2009
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