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NPI Code Detail

MEDICARE: BRYNN MARR HOSPITAL INC

MEDICARE: BRYNN MARR HOSPITAL INC
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
1283Q00000XPsychiatric HospitalMHH0190NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200066OTHERNCBCBS

General Provider Information

NPI Number : 1992701486
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRYNN MARR HOSPITAL INC
Provider Business Mailing Address
First Line : 192 VILLAGE DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7238
Country : US
Telephone Number : 910-577-1400
Fax Number : 910-577-2766
Provider Business Practice Location Address
First Line : 192 VILLAGE DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7238
Country : US
Telephone Number : 910-577-1400
Fax Number : 910-577-2766
Authorized Official
Title or Position : VICE PRESIDENT
Name : STEVE FILTON
Credential :
Telephone Number : 610-768-3482
Provider Enumeration Date : 06/21/2005
Last Update Date : 01/31/2024

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Directions to “BRYNN MARR HOSPITAL INC ” Practice Location

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