Provider Demographics
NPI:1558391250
Name:OUR COMMUNITY HOSPITAL, INC
Entity Type:Organization
Organization Name:OUR COMMUNITY HOSPITAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:KIRBY
Authorized Official - Last Name:MAJURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-826-4144
Mailing Address - Street 1:921 JR HIGH SCHOOL RD
Mailing Address - Street 2:P O BOX 405
Mailing Address - City:SCOTLAND NECK
Mailing Address - State:NC
Mailing Address - Zip Code:27874-1219
Mailing Address - Country:US
Mailing Address - Phone:252-826-4144
Mailing Address - Fax:252-826-2181
Practice Address - Street 1:921 JR HIGH SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SCOTLAND NECK
Practice Address - State:NC
Practice Address - Zip Code:27874-1219
Practice Address - Country:US
Practice Address - Phone:252-826-4144
Practice Address - Fax:252-826-2181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0004314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3405431Medicaid
NC340604GMedicaid
NC3401302Medicaid
NC890767NMedicaid
NC341302Medicare Oscar/Certification
NC345431Medicare Oscar/Certification
NC340604GMedicaid
NC34Z302Medicare Oscar/Certification