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NPI Code Detail

MEDICARE: SAMPSON REGIONAL MEDICAL CENTER

MEDICARE: SAMPSON 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
1282N00000XGeneral Acute Care HospitalH0067NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200492OTHERNCBLUE CROSS

General Provider Information

NPI Number : 1609857432
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMPSON REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 607 BEAMAN ST
Second Line :
City : CLINTON
State : NC
Zip : 28328-2603
Country : US
Telephone Number : 910-592-8511
Fax Number : 910-592-5461
Provider Business Practice Location Address
First Line : 607 BEAMAN ST
Second Line :
City : CLINTON
State : NC
Zip : 28328-2603
Country : US
Telephone Number : 910-592-8511
Fax Number : 910-592-6451
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. GERALD T HEINZMAN
Credential :
Telephone Number : 910-590-8729
Provider Enumeration Date : 11/09/2005
Last Update Date : 07/12/2007

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1982664660 — DR. FALVY CARL BARR JR. MD
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Directions to “SAMPSON REGIONAL MEDICAL CENTER ” Practice Location

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