Healthcare Provider Details
I. General information
NPI: 1457550451
Provider Name (Legal Business Name): UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2007
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6013 FARRINGTON RD STE 301
CHAPEL HILL NC
27517-8173
US
IV. Provider business mailing address
5221 PARAMOUNT PKWY STE 440
MORRISVILLE NC
27560-5491
US
V. Phone/Fax
- Phone: 984-974-6669
- Fax: 984-974-9609
- Phone: 984-974-1186
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | H0157 |
| License Number State | NC |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 1457550451 |
| Identifier Type | MEDICAID |
| Identifier State | NC |
| Identifier Issuer | |
VIII. Authorized Official
Name: MRS.
JANET
TERESA
HADAR
Title or Position: PRESIDENT, UNC HOSPITALS
Credential:
Phone: 984-974-2819