Organization Active NPI

Pitt County Memorial Hospital, Inc

  • General Acute Care Hospital
  • Greenville, NC
National Provider Identifier
1043218944
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0104 Issued in NC
Legal business name
PITT COUNTY MEMORIAL HOSPITAL, INC
Practice address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone
(252) 847-4100
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Mr. Jay T Briley
Title
President
Phone
(252) 847-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0104 NC Primary

Addresses

Primary practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Mailing address

PO Box 6028
Greenville, NC 27835-6028
Phone (252) 847-4100

Other identifiers 2

IdentifierTypeStateIssuer
00435OtherNCBCBS ACUTE
3400040MedicaidNC

Other names 2

  • ECU Health Medical Center Doing business as
  • Vidant Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030521000061 NC Part A Provider - Hospital 5991615445 1 other NPI on this enrollment
Practice locations: Greenville, NC; Washington, NC; Kinston, NC

Hospital certification: CCN 340040

Legal name
PITT COUNTY MEMORIAL HOSPITAL INC
Doing business as
ECU HEALTH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 20, 2015
Beds
909
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 9, 1953 in NC
Enrollment address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric, Rehabilitation, Other

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ecu Health Medical CenterCCN 340040
Overall star rating
2 of 5
Type
Acute Care 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
Pitt County Memorial Ho13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Anthony Cannon Individual Corporate DirectorDirector Sep 17, 2020
Angela a Allen Individual Corporate DirectorDirector Apr 8, 2022
Michael G McLaughlin Individual Corporate DirectorDirector Mar 1, 2023
Philip Wayne Gibbs Individual Corporate DirectorDirector Sep 25, 2023
Andrew Kenneth Zukowski Individual Corporate OfficerCfo Dec 14, 2022
W-2 Managing EmployeeCfo Dec 14, 2022
Demetrius C Carter Individual Corporate DirectorDirector Mar 1, 2023
Roger Davenport Individual Corporate DirectorDirector Sep 16, 2021
Diane Taylor Individual Corporate DirectorDirector Mar 1, 2019
University Health Systems of Eastern Carolina, Inc. Organization, Greenville, NC Non-profit Other Nov 24, 1998
Jay T Briley Individual Corporate OfficerPresident Feb 5, 2024
Christopher Jenkins Individual Corporate DirectorDirector Mar 1, 2021
Anand Tewari Individual Corporate DirectorDirector Mar 1, 2019
William Monk Individual Corporate DirectorDirector Mar 1, 2019
Phillip Dixon Individual Corporate DirectorDirector Mar 2, 2015
Philip Rogers Individual Corporate DirectorDirector Mar 15, 2021
Michael R Waldrum Individual Corporate OfficerCeo of Chain Home Office Jun 1, 2015
Corporate DirectorCeo Chain Home Office Jun 1, 2015
Vincent Jones Individual Corporate DirectorDirector Mar 1, 2023
Thomas J Kulikowski Individual Corporate DirectorDirector Mar 1, 2025
Steven Spaanbroek Individual Corporate DirectorDirector Nov 20, 2025
Carlester T Crumpler Individual Corporate DirectorDirector Mar 1, 2014
Deborah Davis Individual Corporate DirectorDirector Jul 23, 2020
Bobby Brian Dunn Individual Corporate OfficerVP, Ecu Health Medical Center Mar 1, 2022
Antoine E Khoury Individual Corporate DirectorDirector Jun 26, 2023

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1,380

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

View all 1,380

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1043218944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6028",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278356028",
            "telephone_number": "252-847-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-847-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITT COUNTY MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "BRILEY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-5104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "00435",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECU Health Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.