Healthcare Provider Details

I. General information

NPI: 1417905589
Provider Name (Legal Business Name): NASH HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 11/18/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 MEDPARK DR
ROCKY MOUNT NC
27804-2288
US

IV. Provider business mailing address

2460 CURTIS ELLIS DR
ROCKY MOUNT NC
27804-2237
US

V. Phone/Fax

Practice location:
  • Phone: 252-962-8030
  • Fax: 252-962-8397
Mailing address:
  • Phone: 252-962-5000
  • Fax: 252-962-8397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberH0228
License Number StateNC

VIII. Authorized Official

Name: MR. SHAWN HARTLEY
Title or Position: CFO
Credential:
Phone: 252-962-8076