| Organization Name: | SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC |
| NPI Number: | 1982018941 |
| 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: | 2522556040 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2014 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |