MEDICARE: ALAMANCE REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0002X	Clinic Pharmacy	07884	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3411256	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1427210921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAMANCE REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 202
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27216-0202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1624 MEMORIAL DR
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-3518
Country	:	US
Telephone Number	:	336-538-8440
Fax Number	:	336-538-8449

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROBERT ASHWORTH
Credential	:
Telephone Number	:	336-538-8440

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/26/2008

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Directions to “ALAMANCE REGIONAL MEDICAL CENTER ” Practice Location

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