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Organization

EAST CAROLINA HEALTH

Active
Parent organization
EAST CAROLINA HEALTH
Other names
Roanoke Chowan Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST CAROLINA HEALTH
Authorized official
MR. JON GRAHAM IV (CHIEF FINANCIAL OFFICER)
(252) 209-3610
Entity
Organization

Contact information

Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3708
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-3708

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H0001
NC
208M00000X
Hospitalist Physician
Primary
H0001
NC
363L00000X
Nurse Practitioner
H0001
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019UT
BCBS
NC
Enumeration date
02/12/2008
Last updated
09/09/2008
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