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Organization Active NPI

East Carolina Health

Doing business as ECU Health Roanoke-Chowan Hospital

  • Anesthesiology Physician
  • Ahoskie, NC
National Provider Identifier
1093793473
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H0001 Issued in NC
Legal business name
EAST CAROLINA HEALTH
Doing business as
ECU Health Roanoke-Chowan Hospital
Vidant Roanoke Chowan Hospital
Practice address
500 Academy St S
Ahoskie, NC 27910-3248
Phone
(252) 209-3170
NPI assigned
Jan 5, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST CAROLINA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mr. Brian J Harvill
Title
President
Phone
(252) 209-3173

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H0001 NC Primary
Interventional Pain Medicine Physician 208VP0014X H0001 NC
Certified Registered Nurse Anesthetist 367500000X H0001 NC

Addresses

Primary practice location

500 Academy St S
Ahoskie, NC 27910-3248

Mailing address

PO Box 1385
Ahoskie, NC 27910-1385
Phone (252) 209-3170

Other identifiers 4

IdentifierTypeStateIssuer
690280FMedicaidNC
CH9789OtherNCRR MEDICARE
0254POtherNCBCBS PROFESSIONAL GRP #
8000251MedicaidNC

Other names 2

  • ECU Health Roanoke-Chowan Hospital Doing business as
  • Vidant Roanoke Chowan Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000386 NC Part B Supplier - Clinic/Group Practice 9739092727 Receives reassigned benefits from 21 practitioners
Practice locations: Ahoskie, NC

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Part of
Ahoskie Family Physicia

Locations

610 Academy St S
Ahoskie, NC 27910
Phone (252) 332-6111

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ecu Health Bertie HospitalWindsor, NC, CCN 341304 Hospital Other Dec 27, 1996
Ecu Health Duplin HospitalKenansville, NC, CCN 340120 Hospital Other Oct 1, 2010
Ecu Health Edgecombe HospitalTarboro, NC, CCN 340107 Hospital Other Oct 1, 1998
Outer Banks Health HospitalNags Head, NC, CCN 341324 Hospital 5% Or Greater Direct Ownership Interest
Other (60%)		 Jul 8, 2004
Oct 1, 2002
Ecu Health Chowan HospitalEdenton, NC, CCN 341318 Hospital Other Nov 14, 2007
Ecu Health North HospitalRoanoke Rapids, NC, CCN 340151 Hospital Other Jun 1, 2019
Ecu Health Bertie HospitalWindsor, NC, CCN 34Z304 Hospital Other Dec 27, 1996
Vidant Family Medicine Roanoke RapidsRoanoke Rapids, NC, CCN 348941 Rural health clinic Other Jun 1, 2019

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1093793473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101385",
            "telephone_number": "252-209-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103248",
            "telephone_number": "252-209-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CAROLINA HEALTH",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HARVILL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-209-3173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "H0001",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "H0001",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "H0001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690280F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH9789",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROFESSIONAL GRP #",
            "identifier": "0254P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000251",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Roanoke-Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Roanoke Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Roanoke Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.