NPIMap

Organization Active NPI

East Carolina Health-Bertie

Doing business as ECU Health Bertie Hospital

  • Critical Access Hospital
  • Windsor, NC
National Provider Identifier
1013999705
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H0268 Issued in NC
Legal business name
EAST CAROLINA HEALTH-BERTIE
Doing business as
ECU Health Bertie Hospital
Vidant Bertie Hospital
Practice address
1403 S King St
Windsor, NC 27983-9666
Phone
(252) 794-6600
NPI assigned
Nov 17, 2005
Last updated
May 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Todd J Warlitner
Title
Cfo
Phone
(252) 794-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H0268 NC Primary

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 names 2

  • ECU Health Bertie Hospital Doing business as
  • Vidant Bertie Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030604000013 NC Part A Provider - Hospital 1355251661 Practice locations: Windsor, NC
O20240301000289 NC Part A Provider - Hospital 1355251661 Practice locations: Windsor, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1013999705. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Feb 13, 1998 in NC
Enrollment address
1403 S King St
Windsor, NC 27983-9666
Main/Primary Hospital Location
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
CorporationNon-profit
Incorporated
Feb 13, 1998 in NC
Enrollment address
1403 S King St
Windsor, NC 27983-9666
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Ecu Health Bertie HospitalCCN 341304 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

401 Sterlingworth St
Windsor, NC 27983
Phone (252) 794-4820

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Angela a Allen Individual Corporate DirectorDirector Mar 1, 2024
Michael G McLaughlin Individual Corporate DirectorDirector Mar 1, 2026
Andrew Kenneth Zukowski Individual Corporate OfficerSecretary/Treasurer Dec 14, 2022
Ernest L Evans Individual Corporate DirectorDirector Mar 1, 2021
Diane Taylor Individual Corporate DirectorDirector Mar 1, 2020
Corporate DirectorBoard Member Mar 1, 2020
Michelle Taylor Individual Corporate Officer Oct 26, 2021
University Health Systems of Eastern Carolina, Inc. Organization, Greenville, NC Corporation, Non-profit Other Nov 24, 1998
Brian J Harvill Individual Corporate OfficerPresident Jun 22, 2018
Todd Warlitner Individual Corporate Officer Mar 1, 2018
W-2 Managing Employee Mar 1, 2018
Marcus Sailer Albernaz Individual Corporate DirectorDirector Apr 1, 2012
Michael R Waldrum Individual Corporate DirectorCeo/Chain Home Office Jun 1, 2015
Donald Smith Individual Corporate OfficerPresident, East Carolina Health Feb 5, 2024
East Carolina Health Organization, Greenville, NC Corporation, Non-profit Other Dec 27, 1996
Antoine E Khoury Individual Corporate DirectorDirector Mar 1, 2026
Jay T Briley Individual Corporate OfficerPresident East Car Health Jun 1, 2018
Mary P Johnson Individual Corporate DirectorBoard Member Mar 1, 2014
Jimmy F Garris Individual Corporate DirectorBoard Member Mar 1, 2020
James H. Pierce Individual Corporate DirectorDirector Sep 27, 2022

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

Affiliated clinicians 138

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 138

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1013999705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279830040",
            "telephone_number": "252-794-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S KING ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839666",
            "telephone_number": "252-794-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH-BERTIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "WARLITNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-794-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Bertie Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Bertie Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Bertie Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, NC

Sources for this page

Verify at the official NPI Registry.