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Organization

HALIFAX REGIONAL MEDICAL CENTER INC

Active
Other names
HALIFAX MEMORIAL HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERRY EMERY JENSEN (CHIEF FINANCIAL OFFICER)
(252) 535-8005
Entity
Organization

Contact information

Practice address
250 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 535-8005
(252) 535-8466
Mailing address
250 SMITH CHURCH RD, P.O. BOX 1089, ROANOKE RAPIDS, NC 27870-4914
(252) 535-8005
(252) 535-8466

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
H0230
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00242
BLUE CROSS BLUE SHIELD NC
NC
01
00380
BCBS OF SOUTH CAROLINA
SC
01
007265
EMPIRE BCBS OF NEW YORK
NY
01
07637
BLUE CROSS BS ER PHYS.
NC
01
07669
BCBS EKG
NC
01
216203
ANTHEM BC BS OF VIRGINIA
VA
05
3400151
NC
01
58593301
BCBS OF MARYLAND
MD
05
6907637
NC
05
8907669
NC
Enumeration date
02/08/2007
Last updated
08/13/2020
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