Provider Demographics
NPI:1205840857
Name:UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Entity type:Organization
Organization Name:UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:T
Authorized Official - Last Name:HADAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-974-4423
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 440
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5491
Mailing Address - Country:US
Mailing Address - Phone:984-974-2374
Mailing Address - Fax:984-974-8586
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:UNC HOSPITALS CENTRAL OUTPATIENT PHARMACY
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-2374
Practice Address - Fax:984-974-8586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X, 237700000X
NC01218333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacy
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0685024Medicaid
NC1205840857Medicaid
NC2053HOSOtherPARTNERS PROV #
NC7701351Medicaid
NC3404131Medicaid
NC2053HOSOtherPARTNERS PROV #
NC=========AOtherHEALTHSOURCE/CIGNA
NC0685024Medicaid