Provider Demographics
NPI:1952749475
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, UNC HOSPITALS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:HADAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-974-2819
Mailing Address - Street 1:107 SUNNYBROOK RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1827
Mailing Address - Country:US
Mailing Address - Phone:984-974-4850
Mailing Address - Fax:984-974-4917
Practice Address - Street 1:107 SUNNYBROOK RD
Practice Address - Street 2:SUITE B
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1827
Practice Address - Country:US
Practice Address - Phone:984-974-4850
Practice Address - Fax:984-974-4917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-867251S00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1952749475Medicaid