HALIFAX REGIONAL MEDICAL CENTER INC NPI 1992846570

NPI Information

NPI: 1992846570
Provider Name: HALIFAX REGIONAL MEDICAL CENTER INC

Former Legal Business Name: HALIFAX MEMORIAL HOSPITAL

Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC
ZIP 27870
Phone: (252) 535-8005
Get Directions

HALIFAX REGIONAL MEDICAL CENTER INC is an emergency medical services emergency medicine in Roanoke Rapids, NC. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. HALIFAX REGIONAL MEDICAL CENTER INC NPI is 1992846570. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Halifax Memorial Hospital.

The provider's business location address is:

250 SMITH CHURCH RD
ROANOKE RAPIDS, NC
ZIP 27870-914
Phone: (252) 535-8005
Fax: (252) 535-8466

The provider's authorized official is Sherry Emery Jensen .
The authorized official title is Chief Financial Officer and has the following contact phone number (252) 535-8005.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	H0230	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	58593301	OTHER	MARYLAND	BCBS OF MARYLAND
2	6907637	MEDICAID	NORTH CAROLINA
3	007265	OTHER	NEW YORK	EMPIRE BCBS OF NEW YORK
4	07637	OTHER	NORTH CAROLINA	BLUE CROSS BS ER PHYS.
5	3400151	MEDICAID	NORTH CAROLINA
6	216203	OTHER	VIRGINIA	ANTHEM BC BS OF VIRGINIA
7	00242	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD NC
8	8907669	MEDICAID	NORTH CAROLINA
9	00380	OTHER	SOUTH CAROLINA	BCBS OF SOUTH CAROLINA
10	07669	OTHER	NORTH CAROLINA	BCBS EKG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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