Provider Demographics
NPI:1548216880
Name:NEW HANOVER REGIONAL MEDICAL CENTER
Entity Type:Organization
Organization Name:NEW HANOVER REGIONAL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-343-4699
Mailing Address - Street 1:PO BOX 9000
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28402-9000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
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:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0221282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00393OtherBCBS ALL EXCEPT REHAB
NC5028888OtherUNITED HEALTHCARE
SC128171OtherMEDICAID INPATIENT
SC153836OtherMEDICAID OUTPATIENT
NC3400141Medicaid
NC3400141Medicaid
NC00393OtherBCBS ALL EXCEPT REHAB