Organization
BAPTIST HOSPITAL HOME RX
Active
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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