PITT COUNTY MEMORIAL HOSPITAL INC (NPI# 1649252933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649252933 |
| Entity Type | Organization |
| Organization Name | PITT COUNTY MEMORIAL HOSPITAL INC |
| Other Organization Name | VIDANT MEDICAL CENTER |
| Practice Address |
2100 Stantonsburg Rd Greenville NC 27834-2818 |
| Mailing Address |
Po Box 6028 Greenville NC 27835-6028 |
| Practice Telephone | 2528474100 |
| Mailing Telephone | 2528474100 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | MR. DAVID S HUGHES (CFO) |
| Authorized Official Telephone | 2528474582 |
| Is Organization Subpart | Y |
| Parent Organization Name | PITT COUNTY MEMORIAL HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | H0104 | NC | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 00435 | 01 |
| NC | 3400040S | 05 |
| Other Name | Type Code |
|---|---|
| Vidant Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285198283 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd Rm 1ph-160, Greenville, NC 27834-2818 | 2019-01-24 |
| 1497045652 | Pitt County Memorial Hospital Inc | Radiologic Technologist | 600 Moye Blvd, Greenville, NC 27834-4300 | 2011-04-08 |
| 1447430111 | Pitt County Memorial Hospital Inc | Home Health | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2007-11-09 |
| 1992922090 | Pitt County Memorial Hospital Inc | Pharmacy | 2000 Venture Tower Dr, Greenville, NC 27834-2871 | 2007-04-19 |
| 1942236641 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-06-24 |
| 1275595639 | Pitt County Memorial Hospital Inc | Durable Medical Equipment & Medical Supplies | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-04-03 |
| 1669434023 | Pitt County Memorial Hospital Inc | Ambulance | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-04-03 |
| 1831177211 | Pitt County Memorial Hospital Inc | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-01-05 |
| 1558343848 | Pitt County Memorial Hospital Inc | Rehabilitation Unit | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-11-14 |
| Street Address |
2100 STANTONSBURG RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802077 | Leanna F. Thorn | Emergency Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-06-23 |
| 1891394557 | Schuyler Geaslen Williams | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-10-22 |
| 1477169084 | Denise Harper | Clinical Nurse Specialist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-18 |
| 1548874068 | Ileen Craven | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-02 |
| 1790397990 | Randi Elizabeth Caruso | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1184236333 | Emily Merritt | Pharmacist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1467063107 | Smit Rajput | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-15 |
| 1558971044 | Kyle Travlos | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1114537693 | Ryan Austin Wagner | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1790395283 | Clayton Adams | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861840704 | Wayne Healthcare | Psychiatric Unit | 835 Sweitzer St, Greenville, OH 45331-1007 | 2016-06-01 |
| 1801118237 | Hunt Memorial Hospital District | Psychiatric Unit | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2010-02-26 |
| 1497830806 | Delta Regional Medical Center | Psychiatric Unit | 300 S Washington Ave, Greenville, MS 38701-4719 | 2006-10-25 |
| 1174544795 | Hshs Holy Family Hospital Inc | Psychiatric Unit | 200 Health Care Dr, Greenville, IL 62246-1154 | 2006-07-21 |
| 1811968308 | The Health Care Authority of The City of Greenville - Lv Stabler Hospi | Psychiatric Unit | 29 L V Stabler Dr, Greenville, AL 36037-3850 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1992240972 | Veritas Collaborative | Psychiatric Unit | 500 N Sellers St, Selma, NC 27576-2647 | 2016-12-29 |
| 1073699492 | Smoky Mountain Center for Mh/dd/sas | Psychiatric Unit | 91 Timberlane Dr, Waynesville, NC 28786 | 2006-10-27 |
| 1114905783 | East Carolina Health | Psychiatric Unit | 111 Hertford County High Rd, Ahoskie, NC 27910-8131 | 2006-01-04 |
| 1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
| 1649746678 | Mh Mission Hospital, Lllp | Psychiatric Unit | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2018-10-17 |
| 1689166605 | Dlp Maria Parham Medical Center LLC | Psychiatric Unit | 100 Hospital Dr, Louisburg, NC 27549-2256 | 2018-06-05 |
| 1386196459 | Dlp Wilson Medical Center LLC | Psychiatric Unit | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2016-10-25 |
| 1386090611 | Unc Department of Psychiatry | Psychiatric Unit | 101 Manning Dr, Campus Box #7160, Chapel Hill, NC 27599-7160 | 2016-05-05 |
| 1982079802 | The Charlotte-mecklenburg Hospital Authority | Psychiatric Unit | 301 Yadkin St, Albemarle, NC 28001-3441 | 2015-12-03 |
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| City | GREENVILLE |
| Zip Code | 27834 |
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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.