Healthcare Provider Details

I. General information

NPI: 1467441394
Provider Name (Legal Business Name): EAST CAROLINA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ACADEMY ST S
AHOSKIE NC
27910-3248
US

IV. Provider business mailing address

PO BOX 1385
AHOSKIE NC
27910-1385
US

V. Phone/Fax

Practice location:
  • Phone: 252-209-3170
  • Fax:
Mailing address:
  • Phone: 252-209-3170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH0001
License Number StateNC

VIII. Authorized Official

Name: MR. BRIAN J HARVILL
Title or Position: PRESIDENT
Credential:
Phone: 252-209-3173