NPIMap

Organization Active NPI

Henderson/Vance Healthcare, Inc.

  • General Acute Care Hospital
  • Henderson, NC
National Provider Identifier
1386712768
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0267 Issued in NC
Legal business name
HENDERSON/VANCE HEALTHCARE, INC.
Practice address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone
(252) 438-4143
NPI assigned
Dec 1, 2006
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Jim E Chatman, MBA
Title
VP Finance Cfo
Phone
(252) 436-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0267 NC Primary

Addresses

Primary practice location

566 Ruin Creek Rd
Henderson, NC 27536-2927

Mailing address

566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone (252) 438-4143

Other identifiers 1

IdentifierTypeStateIssuer
3400132MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
DLP Maria Parham Medical Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1386712768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "252-438-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "252-438-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON/VANCE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP FINANCE CFO",
        "authorized_official_telephone_number": "252-436-1101",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.