Provider Demographics
NPI:1740334853
Name:DUNN-ERWIN MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:DUNN-ERWIN MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKSHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-897-4551
Mailing Address - Street 1:518 E H ST
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:NC
Mailing Address - Zip Code:28339-2209
Mailing Address - Country:US
Mailing Address - Phone:910-897-4551
Mailing Address - Fax:910-897-2218
Practice Address - Street 1:518 E H ST
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:NC
Practice Address - Zip Code:28339-2209
Practice Address - Country:US
Practice Address - Phone:910-897-4551
Practice Address - Fax:910-897-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32276207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890201FMedicaid
NC0201FOtherBLUE CROSS BLUE SHIELD
NCC82360Medicare UPIN
NC890201FMedicaid