Provider Demographics
NPI:1508453754
Name:NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Other - Org Name:NOVANT HEALTH NEW HANOVER REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT NOVANT HEALTH COASTAL REG
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BOVIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-667-7040
Mailing Address - Street 1:101 N CHERRY ST STE 600
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-4013
Mailing Address - Country:US
Mailing Address - Phone:336-277-1604
Mailing Address - Fax:336-277-9584
Practice Address - Street 1:2131 S 17TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7407
Practice Address - Country:US
Practice Address - Phone:910-343-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital