Healthcare Provider Details

I. General information

NPI: 1477812519
Provider Name (Legal Business Name): GOOD HOPE HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 DENIM DR
ERWIN NC
28339-2204
US

IV. Provider business mailing address

410 DENIM DR
ERWIN NC
28339-2204
US

V. Phone/Fax

Practice location:
  • Phone: 910-230-4011
  • Fax:
Mailing address:
  • Phone: 919-894-0847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROBERT PATTERSON CAMERON
Title or Position: VICE-CHAIRMAN
Credential:
Phone: 919-894-0847