Provider Demographics
NPI:1417905589
Name:NASH HOSPITALS INC
Entity Type:Organization
Organization Name:NASH HOSPITALS INC
Other - Org Name:COASTAL PLAIN HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-962-8076
Mailing Address - Street 1:2460 CURTIS ELLIS DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2237
Mailing Address - Country:US
Mailing Address - Phone:252-962-5000
Mailing Address - Fax:252-962-8397
Practice Address - Street 1:2301 MEDPARK DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2288
Practice Address - Country:US
Practice Address - Phone:252-962-8030
Practice Address - Fax:252-962-8397
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NASH HOSPITALS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-04
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0228273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400147SMedicaid
NC119294800OtherBLACK LUNG
NC00395OtherBLUE CROSS
NC=========OtherTRICARE/COMMERCIAL
NC=========OtherTRICARE/COMMERCIAL