NPIMap

Organization Active NPI

East Carolina Health

Doing business as ECU Health Adult Behavioral Health Center

  • Psychiatric Hospital Unit
  • Ahoskie, NC
National Provider Identifier
1114905783
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0001 Issued in NC
Legal business name
EAST CAROLINA HEALTH
Doing business as
ECU Health Adult Behavioral Health Center
Practice address
111 Hertford County High Rd
Ahoskie, NC 27910-8131
Phone
(252) 209-3056
NPI assigned
Jan 4, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0001 NC Primary

Addresses

Primary practice location

111 Hertford County High Rd
Ahoskie, NC 27910-8131

Mailing address

111 Hertford County High Rd
Ahoskie, NC 27910-8131
Phone (252) 209-3056

Other identifiers 2

IdentifierTypeStateIssuer
3400099SMedicaidNC
00025OtherNCBCBS PROVIDER #

Other names 1

  • ECU Health Adult Behavioral Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000063 NC Part A Provider - Hospital 9739092727 Practice locations: Ahoskie, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114905783. Details of each certification follow.

Hospital certification: CCN 34S099

Legal name
EAST CAROLINA HEALTH
Doing business as
ECU HEALTH ADULT BEHAVIORAL HEALTH CENTER
Organization structure
CorporationNon-profit
Incorporated
Dec 27, 1996 in NC
Enrollment address
111 Hertford County High Rd
Ahoskie, NC 27910-8131
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1062526Ecu Health Adult Behavioral Health111 Hertford County High Road, Ahoskie, NC 27910Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ahoskie Family Physicia8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

111 Hertford County High Rd
Ahoskie, NC 27910
Phone (252) 209-3000

Ownership & related parties

All disclosed owners & managing parties 13

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
Andrew Kenneth Zukowski Individual Corporate OfficerSecretary/Treasurer Dec 14, 2022
Ernest L Evans Individual Corporate DirectorBoard Member Mar 1, 2021
Diane Taylor Individual Corporate Director Mar 1, 2020
Michelle Taylor Individual Corporate OfficerVP Financial Services - Oper 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 Sep 10, 2023
Charles E. Alford Individual Corporate OfficerCfo Jul 28, 2017
W-2 Managing Employee Jul 28, 2017
Marcus Sailer Albernaz Individual Corporate DirectorBoard Member Apr 1, 2012
Michael R Waldrum Individual Corporate DirectorCeo, Chain Home Office Jun 1, 2015
Jimmy F Garris Individual Corporate Director Mar 1, 2020
Donald Smith Individual Corporate OfficerPresident, East Carolina Health Feb 5, 2024
James H. Pierce Individual Corporate DirectorDirector Sep 27, 2022

Owners & managing parties with NPI records 1

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

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 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1114905783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HERTFORD COUNTY HIGH RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108131",
            "telephone_number": "252-209-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HERTFORD COUNTY HIGH RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108131",
            "telephone_number": "252-209-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NC",
            "license": "H0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400099S",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "00025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Adult Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.