Sampson Regional Medical Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

H0067 Issued in NC

Legal business name

SAMPSON REGIONAL MEDICAL CENTER, INC.

Practice address

607 Beaman St
Clinton, NC 28328-2603

Phone

(910) 592-8511

Fax

(910) 592-5461

NPI assigned

Feb 26, 2007

Last updated

Sep 11, 2008By the provider in NPPES

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 identifiers 2

Other names 1

• Sampson County Memorial Hospital Former legal business name

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1184750150",
    "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": "910-592-8511",
            "fax_number": "910-592-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-592-8511",
            "fax_number": "910-592-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-09-11",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "H0067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0086B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sampson County Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sampson Regional Medical Center (Sampson Regional Medical Center Oncology)
• Sampson Regional Medical Center
• Sampson Regional Medical Center (Sampson Home Health)
• Sampson Regional Medical Center
• Sampson Regional Medical Center
• Sampson Regional Medical Center, Inc.
• Sampson Regional Medical Services LLC
• Sampson Regional Medical Services, LLC
• Sampson Regional Professional Services (Carolina Pain Center)
• Sampson Regional Professional Services (Sampson Womens Center)

• Skilled Nursing Facility in Clinton, NC
• Providers in Clinton, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.