Healthcare Provider Details

I. General information

NPI: 1013130293
Provider Name (Legal Business Name): BEAUFORT COUNTY HOSPITAL ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 HIGHLAND DR
WASHINGTON NC
27889-3424
US

IV. Provider business mailing address

1308 HIGHLAND DR
WASHINGTON NC
27889-3424
US

V. Phone/Fax

Practice location:
  • Phone: 252-946-3666
  • Fax: 252-974-5499
Mailing address:
  • Phone: 252-946-3666
  • Fax: 252-974-5499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRIS RIGGS
Title or Position: CFO
Credential:
Phone: 252-975-4201