East Carolina Health-Bertie
Organization Active NPI Critical Access Hospital · Windsor, NC
NPI 1013999705 · NPPES record last updated May 30, 2022
Key facts
- NPI
- 1013999705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- H0268 (NC)
- Legal business name
- EAST CAROLINA HEALTH-BERTIE
- Practice address
- 1403 S King St
Windsor, NC 27983-9666 - Phone
- (252) 794-6600
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd J Warlitner
- Title
- Cfo
- Phone
- (252) 794-6000
Owners & managing parties with NPI records 5
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 2
Related certifications (CCN) 1
Practitioners 44
-
Erica Michelle Ford, PA C
-
Teddie Wayne Gore, FNP
-
Phillip Gordon Harris, M.D.
-
Renea Swain Price, FNP-C
-
Heather Evans Williams, AGACNP-BC
-
Sunil Badami, MD
-
Matthew James Chovaz, M.D.
-
Ashley Keene Cooper, APRN
-
Ryan James Fouche, D.O.
-
Bryan Thomas Gerber, M.D.
-
Rudo Gwanzura, MD
-
Jesse Anne Hamilton, DNP, APRN, FNP-BC
-
Jaffer Hussain, M.D.
-
Sandra J Layden, FNP
-
Brian P Lowry, MD
-
Michael Lowry, MD
-
Samuel Moskowitz, M.D.
Affiliated clinicians 138
-
Linda Marie Abbott, FNP
-
Eslam Galal Khalifa Ali, M.D.
-
Jeffrey B Asbury, MD
-
Andrew Bridgforth, M.D.
-
Ricky Lorenzo Brooks, M.D.
-
Leanne S Brown, MD
-
Bryan C Bunn, MD
-
Gregory Cannon, NP
-
Dhruva Chawla, MD
-
Harsh Chawla, MD
-
Howard Coke, M.B.B.S
-
Joana Eleanor Colzani-Cohen-Deutsch, MD, MBA
-
Vijay R Dhoopati, MD
-
Regina Dodis, D. O.
Medicare Care Compare: Hospital
- Listed as
- Ecu Health Bertie Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Hospital certification: CCN 341304
- Legal name
- EAST CAROLINA HEALTH-BERTIE
- Doing business as
- ECU HEALTH BERTIE HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jun 15, 1999
- Last certification
- Jul 13, 2000
- Beds
- 15
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 13, 1998 in NC
- Enrollment address
- 1403 S King St
Windsor, NC 27983-9666 - Hospital subgroups
- General, Swing-bed approved
Hospital certification: CCN 34Z304
- Legal name
- EAST CAROLINA HEALTH-BERTIE
- Doing business as
- ECU HEALTH BERTIE HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 13, 1998 in NC
- Enrollment address
- 1403 S King St
Windsor, NC 27983-9666 - Hospital subgroups
- Swing-bed approved
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Angela a Allen |
Corporate Director |
Mar 1, 2024 | |
| Michael G McLaughlin |
Corporate Director |
Mar 1, 2026 | |
| Andrew Kenneth Zukowski |
Corporate Officer |
Dec 14, 2022 | |
| Ernest L Evans |
Corporate Director |
Mar 1, 2021 | |
| Diane Taylor |
Corporate Director |
Mar 1, 2020 | |
| Corporate Director |
Mar 1, 2020 | ||
| Michelle Taylor |
Corporate Officer | Oct 26, 2021 | |
| University Health Systems of Eastern Carolina, Inc. |
Other | Nov 24, 1998 | |
| Brian J Harvill |
Corporate Officer |
Jun 22, 2018 | |
| Todd Warlitner |
Corporate Officer | Mar 1, 2018 | |
| W-2 Managing Employee | Mar 1, 2018 | ||
| Marcus Sailer Albernaz |
Corporate Director |
Apr 1, 2012 | |
| Michael R Waldrum |
Corporate Director |
Jun 1, 2015 | |
| Donald Smith |
Corporate Officer |
Feb 5, 2024 | |
| East Carolina Health |
Other | Dec 27, 1996 | |
| Antoine E Khoury |
Corporate Director |
Mar 1, 2026 | |
| Jay T Briley |
Corporate Officer |
Jun 1, 2018 | |
| Mary P Johnson |
Corporate Director |
Mar 1, 2014 | |
| Jimmy F Garris |
Corporate Director |
Mar 1, 2020 | |
| James H. Pierce |
Corporate Director |
Sep 27, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030604000013 | NC | Part a Provider - Hospital | 1355251661 | Practice locations: Windsor, NC |
| O20240301000289 | NC | Part a Provider - Hospital | 1355251661 | Practice locations: Windsor, NC |
National Provider Directory
- Tax ID family
- Cashie Medical Center
Locations
401 Sterlingworth St
Windsor, NC 27983
Phone (252) 794-4820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | H0268 | NC | Yes |
Addresses
Primary practice location
1403 S King St
Windsor, NC 27983-9666
Mailing address
PO Box 40
Windsor, NC 27983-0040
Phone (252) 794-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003A | Other | NC | BCBS PROVIDER NUMBER |
| 3401304 | Medicaid | NC |
Other names
- ECU Health Bertie Hospital
- Vidant Bertie Hospital
Other providers in Windsor, NC
- Destination Hope, Inc.
- Raghunath Doppalapudi
- Down East Home Care Agency Inc
- Down East Home Care Agency, Inc.
- East Carolina Health-Bertie
- East Carolina Health-Bertie
- East Carolina Health-Bertie
- East Carolina Health-Bertie
- Eastern Home Health Care, Inc.
- Faithful House
All providers in Windsor, NC · Critical Access Hospital in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.