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NPI 1396684635

NPI 1396684635 : HALIFAX REGIONAL MEDICAL CENTER INC : ROANOKE RAPIDS, NC

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General NPI Number Information
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    NPI Number           |    1396684635
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    Entity Type          |    Organization 
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    Legal Business Name  |    HALIFAX REGIONAL MEDICAL CENTER INC 
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Dates
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    Enumeration Date     |    03/25/2026
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    Last Update Date     |    03/25/2026
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Provider Practice Location Address
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    Address Line         |    212 SMITH CHURCH RD 
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    City                 |    ROANOKE RAPIDS
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    State                |    NC
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    Zip                  |    27870-4914
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    Country              |    US
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    Telephone            |    252-537-1717
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    250 SMITH CHURCH RD 
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    City                 |    ROANOKE RAPIDS
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    State                |    NC
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    Zip                  |    27870-4914
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    Country              |    US
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    Telephone            |    252-535-8147
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    Fax                  |    252-535-8481
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. RYAN TODD HICKEY 
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    Credential           |    
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    Telephone            |    252-535-8159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    
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