Provider Demographics
NPI:1922144757
Name:HARNETT HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:HARNETT HEALTH SYSTEM, INC.
Other - Org Name:BETSY JOHNSON HOSPITAL & CENTRAL HARNETT HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP CORP REV CYCLE/MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-615-6949
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28335-1706
Mailing Address - Country:US
Mailing Address - Phone:910-892-1000
Mailing Address - Fax:910-891-6032
Practice Address - Street 1:800 TILGHMAN DR
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-5510
Practice Address - Country:US
Practice Address - Phone:910-892-1000
Practice Address - Fax:910-891-6032
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARNETT HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-29
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0224282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400071Medicaid
NC00049OtherBLUE CROSS BLUE SHIELD
NC00049OtherBLUE CROSS BLUE SHIELD
NC3400071Medicaid