Organization
PITT COUNTY MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW K ZUKOWSKI (CFO)
(252) 847-4582
Entity
Organization
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4100
Mailing address
PO BOX 6028, GREENVILLE, NC 27835-6028
(252) 847-4100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
H0104
NC
207RC0000X
Cardiovascular Disease Physician
H0104
NC
2084N0400X
Neurology Physician
H0104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07646
BCBS PROFESSIONAL GROUP #
NC
05
—
6005217
—
NC
05
—
8907646
—
NC
Enumeration date
01/05/2006
Last updated
09/12/2024
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