MEDICARE: DUPLIN GENERAL HOSPITAL INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	H0166	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07657	OTHER	NC	BCBS NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851411029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUPLIN GENERAL HOSPITAL INCORPORATED

Provider Business Mailing Address
First Line	:	PO BOX 278
Second Line	:
City	:	KENANSVILLE
State	:	NC
Zip	:	28349-0278
Country	:	US
Telephone Number	:	910-296-2608
Fax Number	:	910-296-1174

Provider Business Practice Location Address
First Line	:	401 N. MAIN ST.
Second Line	:
City	:	KENANSVILL
State	:	NC
Zip	:	28349-0278
Country	:	US
Telephone Number	:	910-296-2608
Fax Number	:	910-296-1174

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. W. HARVEY CASE
Credential	:
Telephone Number	:	910-296-2608

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	11/04/2009

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