Active NPI
New Hanover Regional Medical Center
- Rehabilitation Hospital
- Wilmington, NC
National Provider Identifier
1003985375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- H0221
- Legal business name
- NEW HANOVER REGIONAL MEDICAL CENTER
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 343-7000
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edwin J. Ollie
- Title
- Cfo
- Phone
- (910) 343-4699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | H0221 | NC | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3400141T | Medicaid | NC | |
| 00059 | Other | NC | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1003985375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-343-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-343-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HANOVER REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2008-04-04",
"status": "A",
"authorized_official_last_name": "OLLIE",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "910-343-4699",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "NC",
"license": "H0221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3400141T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "00059",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- New Hanover County Schools
- New Hanover Foot & Ankle Center, P.a.
- New Hanover House, LLC
- New Hanover Medical Group PA
- New Hanover Regional EMS
- New Hanover Regional Medical Center
- New Hanover Regional Medical Center
- New Hanover Regional Medical Center
- New Hanover Regional Medical Center
- New Hanover Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.