Healthcare Provider Details

I. General information

NPI: 1760426183
Provider Name (Legal Business Name): LENOIR MEMORIAL HOSPITAL, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AIRPORT RD
KINSTON NC
28503-1678
US

IV. Provider business mailing address

100 AIRPORT RD
KINSTON NC
28503-1678
US

V. Phone/Fax

Practice location:
  • Phone: 252-522-7000
  • Fax: 252-522-7007
Mailing address:
  • Phone: 252-522-7000
  • Fax: 252-522-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License NumberH0043
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL MAE HAYDEN
Title or Position: CEO
Credential:
Phone: 984-974-1183