Sampson Regional Medical Center

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

082-0407-A1 Issued in NC

Legal business name

SAMPSON REGIONAL MEDICAL CENTER

Practice address

215 Beaman Street
Clinton, NC 28328

Phone

(910) 592-8511

Fax

(910) 592-5461

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Heinzman

Title

Cfo

Phone

(910) 592-8511

Specialties & licenses 1

Addresses

Other names 1

• Sampson Regional Medical Center Oncology Doing business as

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164500716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-590-2644",
            "fax_number": "910-592-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BEAMAN STREET",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "28328",
            "telephone_number": "910-592-8511",
            "fax_number": "910-592-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEINZMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-592-8511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NC",
            "license": "082-0407-A1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sampson Regional Medical Center Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sampson Medical Services PA
• Sampson OBGYN PA
• Sampson Radiation Oncology, PA
• Sampson Regional Emergency Professional Services, LLC
• Sampson Regional Hospitalists, LLC
• Sampson Regional Medical Center
• Sampson Regional Medical Center
• Sampson Regional Medical Center
• Sampson Regional Medical Center
• Sampson Regional Medical Center, Inc.

• All providers in Clinton, NC
• Radiation Oncology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.