Healthcare Provider Details

I. General information

NPI: 1396821591
Provider Name (Legal Business Name): EAST CAROLINA HEALTH-HERITAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HOSPITAL DR
TARBORO NC
27886-2011
US

IV. Provider business mailing address

3725 CATTAIL LN
GREENVILLE NC
27858-1021
US

V. Phone/Fax

Practice location:
  • Phone: 252-641-7700
  • Fax:
Mailing address:
  • Phone: 252-551-9001
  • Fax: 252-551-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number StateNC

VIII. Authorized Official

Name: DR. RAJINDER SINGH SIDHU
Title or Position: HOSPITALIST
Credential: MD
Phone: 252-551-9001