Provider Demographics
NPI:1285851501
Name:SANDHILLS REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:SANDHILLS REGIONAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-205-8106
Mailing Address - Street 1:1100 WEST HAMLET AVENUE
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-4524
Mailing Address - Country:US
Mailing Address - Phone:910-582-2613
Mailing Address - Fax:
Practice Address - Street 1:1021 W HAMLET AVE
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-4523
Practice Address - Country:US
Practice Address - Phone:910-582-2613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8566282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400106Medicaid
NC00240OtherBCBS
NC340106Medicare ID - Type Unspecified