Provider Demographics
NPI:1497986509
Name:DUPLIN GENERAL HOSPITAL, INCORPORATED
Entity Type:Organization
Organization Name:DUPLIN GENERAL HOSPITAL, INCORPORATED
Other - Org Name:DUPLIN GEN HOSP CRNA'S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-296-2723
Mailing Address - Street 1:PO BOX 16244
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27261-6244
Mailing Address - Country:US
Mailing Address - Phone:888-447-7220
Mailing Address - Fax:
Practice Address - Street 1:401 NORTH MAIN
Practice Address - Street 2:
Practice Address - City:KENANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28349
Practice Address - Country:US
Practice Address - Phone:910-296-2723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC=========OtherEIN