Healthcare Provider Details

I. General information

NPI: 1497045652
Provider Name (Legal Business Name): PITT COUNTY MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MOYE BLVD
GREENVILLE NC
27834-4300
US

IV. Provider business mailing address

PO BOX 6028
GREENVILLE NC
27835-6028
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4700
  • Fax: 252-847-4725
Mailing address:
  • Phone: 252-847-4700
  • Fax: 252-847-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471R0002X
TaxonomyRadiation Therapy Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAY T BRILEY
Title or Position: PRESIDENT
Credential:
Phone: 252-847-5104