Organization Name: | SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC |
NPI Number: | 1922412790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT A BROERMANN (SR VP/CFO) |
Mailing Address: | 5200 N Croatan Hwy Kitty Hawk |
State: | NC US |
Postal Code: | 279493990 |
Phone Number: | 2522556020 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2014 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | AS0053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |