Healthcare Provider Details

I. General information

NPI: 1609817709
Provider Name (Legal Business Name): HAMLET HMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 04/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W HAMLET AVE
HAMLET NC
28345-4522
US

IV. Provider business mailing address

1000 W HAMLET AVE
HAMLET NC
28345-4522
US

V. Phone/Fax

Practice location:
  • Phone: 910-205-8000
  • Fax:
Mailing address:
  • Phone: 910-205-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: TARA P RICHARDSON
Title or Position: VP PATIENT FINANCIAL SERVICES
Credential:
Phone: 615-221-3672