Provider Demographics
NPI:1285198283
Name:PITT COUNTY MEMORIAL HOSPITAL INC
Entity Type:Organization
Organization Name:PITT COUNTY MEMORIAL HOSPITAL INC
Other - Org Name:VIDANT MEDICAL CENTER OUTPATIENT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-847-4582
Mailing Address - Street 1:PO BOX 6028
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27835-6028
Mailing Address - Country:US
Mailing Address - Phone:252-847-1020
Mailing Address - Fax:252-847-1021
Practice Address - Street 1:2100 STANTONSBURG RD RM 1PH-160
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2818
Practice Address - Country:US
Practice Address - Phone:252-847-1020
Practice Address - Fax:252-847-1021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PITT COUNTY MEMORIAL HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-24
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy