VIDANT MEDICAL GROUP LLC NPI 1750125035

NPI Information

  • NPI: 1750125035
  • Provider Name: VIDANT MEDICAL GROUP, LLC
  • Classification: Clinic/Center - 261QR0404X
  • Specialization: Rehabilitation, Cardiac Facilities
  • Entity Type: Organization
  • Doing Business As: ECU HEALTH PHYSICIANS
  • Address: 210 SMITH CHURCH RD STE B
    ROANOKE RAPIDS, NC
    ZIP 27870
  • Phone: (252) 847-2376

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NPI Details

VIDANT MEDICAL GROUP, LLC is a rehabilitation and cardiac facilities clinic center in Roanoke Rapids, NC. VIDANT MEDICAL GROUP, LLC NPI is 1750125035. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ecu Health Physicians.

The provider's business location address is:

210 SMITH CHURCH RD STE B
ROANOKE RAPIDS, NC
ZIP 27870-942
Phone: (252) 847-2376
Fax: (252) 847-7337

The provider's authorized official is William Ronald Hayes .
The authorized official title is Vp, Managed Care Cvo and has the following contact phone number (252) 847-6114.

The enumeration date for this NPI number is 6/21/2024 and was last updated on 7/31/2024.

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
1163WC3500XRegistered NurseCardiac RehabilitationNo
2261QR0404XClinic/CenterRehabilitation, Cardiac FacilitiesYes

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: 11/21/2025

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