EAST CAROLINA HEALTH - HERITAGE INC (NPI# 1316925001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316925001 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA HEALTH - HERITAGE INC |
| Other Organization Name | VIDANT EDGECOMBE HOSPITAL |
| Practice Address |
111 Hospital Dr Tarboro NC 27886-2011 |
| Practice Telephone | 2526417700 |
| Mailing Telephone | 2526417700 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | MR. CHARLES ALFORD (C.F.O.) |
| Authorized Official Telephone | 2526417131 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST CAROLINA HEALTH - HERITAGE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | H0258 | NC | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS SWING BED # | 0084F | 01 |
| NC | 3450107 | 05 |
| Other Name | Type Code |
|---|---|
| Vidant Edgecombe Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076589 | East Carolina Health - Heritage Inc | Clinic/Center | 1473 Nc 42-43 West, Pinetops, NC 27864-7188 | 2006-01-04 |
| 1619002011 | East Carolina Health - Heritage Inc | Emergency Medicine | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2007-02-23 |
| 1528193927 | East Carolina Health - Heritage Inc | Psychiatry & Neurology | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2007-02-23 |
| 1194703884 | East Carolina Health - Heritage Inc | Nurse Anesthetist, Certified Registered | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2006-01-04 |
| 1578546958 | East Carolina Health - Heritage Inc | Rehabilitation Unit | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-11-21 |
| 1699757393 | East Carolina Health - Heritage Inc | General Acute Care Hospital | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-11-17 |
| Street Address |
111 HOSPITAL DR |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920162 | Jon Dubose | Internal Medicine | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-05-23 |
| 1346849668 | Rhonda Beal | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-19 |
| 1184222580 | Courtney Willoughby | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-16 |
| 1528682648 | Nikki Forbes | Registered Nurse | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-06-04 |
| 1699334847 | Kev'ann Denise Jarman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2019-06-11 |
| 1932659281 | Vidant Edgecombe Hospital | General Acute Care Hospital | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-10-11 |
| 1639627623 | Christine Coleman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-09-19 |
| 1598121311 | Zackry Briggs | Physician Assistant | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-01-08 |
| 1669870309 | April Reichmeider | Dietitian, Registered | 111 Hospital Dr, Attn: Dietary, Tarboro, NC 27886-2011 | 2014-12-11 |
| 1073938577 | Clayton Moore | Pharmacist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2014-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841465911 | Murphy Medical Center Inc. | Medicare Defined Swing Bed Unit | 4130 Us Highway 64 E, Murphy, NC 28906-6845 | 2008-04-29 |
| 1437274339 | Mcdowell Hospital | Medicare Defined Swing Bed Unit | 430 Rankin, Marion, NC 28752 | 2007-03-20 |
| 1871507673 | Blowing Rock Hospital, Swing | Medicare Defined Swing Bed Unit | 418 Chestnut Drive, Blowing Rock, NC 28605 | 2006-07-28 |
| 1558977371 | Centennial Housing & Community Services Corporation | Medicare Defined Swing Bed Unit | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
| 1760006480 | Hoke Healthcare LLC | Medicare Defined Swing Bed Unit | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2020-05-29 |
| 1790252856 | Mh Blue Ridge Medical Center, Lllp | Medicare Defined Swing Bed Unit | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-10-26 |
| 1720554934 | Mh Angel Medical Center, Lllp | Medicare Defined Swing Bed Unit | 120 Riverview St, Franklin, NC 28734-2612 | 2018-10-16 |
| 1356817563 | Mh Transylvania Regional Hospital, Lllp | Medicare Defined Swing Bed Unit | 260 Hospital Dr, Brevard, NC 28712-3378 | 2018-10-16 |
| 1700352911 | Mh Highlands-cashiers Medical Center, Lllp | Medicare Defined Swing Bed Unit | 190 Hospital Dr, Highlands, NC 28741-7600 | 2018-10-16 |
| 1053854653 | Lifebrite Hospital Group of Stokes, LLC | Medicare Defined Swing Bed Unit | 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 | 2016-11-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.