NPIMap

Organization Active NPI

East Carolina Health - Chowan Inc

  • Critical Access Hospital
  • Edenton, NC
National Provider Identifier
1477541183
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H0063 Issued in NC
Legal business name
EAST CAROLINA HEALTH - CHOWAN INC
Practice address
211 Virginia Rd
Edenton, NC 27932-9668
Phone
(252) 482-8451
Fax
(252) 482-6274
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Authorized official

Name
Mr. Todd J Warlitner
Title
President
Phone
(252) 482-6744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H0063 NC Primary

Addresses

Primary practice location

211 Virginia Rd
Edenton, NC 27932-9668

Mailing address

PO Box 629
Edenton, NC 27932-0629
Phone (252) 482-8451

Other identifiers 2

IdentifierTypeStateIssuer
0004WOtherNCBCBS ACUTE
3401318MedicaidNC

Other names 2

  • ECU Health Chowan Hospital Doing business as
  • Vidant 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
O20061104000329 NC Part A Provider - Critical Access Hospital 4880507938 Practice locations: Edenton, NC

Hospital certification: CCN 341318

Legal name
EAST CAROLINA HEALTH - CHOWAN INC
Doing business as
ECU HEALTH CHOWAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 27, 2004
Last certification
Jul 29, 2005
Beds
25
Ownership / control type
Local
Organization structure
CorporationNon-profit
Incorporated
Aug 31, 1998 in NC
Enrollment address
211 Virginia Rd
Edenton, NC 27932-9668
Other Hospital Practice Location

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Vidant Chowan HospitalCCN 341318
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health - C8 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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 DirectorBoard Mem Mar 1, 2020
Michelle Taylor Individual Corporate OfficerVP, Financial SVCS Oct 26, 2021
University Health Systems of Eastern Carolina, Inc. Organization Corporation, Non-profit Other Nov 16, 2007
Brian J Harvill Individual Corporate OfficerPresident Jun 22, 2018
Operational/Managerial Control Jun 22, 2018
Todd Warlitner Individual Corporate Officer Mar 1, 2018
Marcus Sailer Albernaz Individual Corporate Director Apr 1, 2012
Michael R Waldrum Individual Corporate DirectorCeo Chain Home Office Jun 1, 2015
Jimmy F Garris Individual Corporate DirectorBoard Member Mar 1, 2020
Donald Smith Individual Corporate OfficerPresident, East Carolina Health Feb 5, 2024
James H. Pierce Individual Corporate DirectorDirector Sep 27, 2022
East Carolina Health Organization Corporation, Non-profit Other Nov 14, 2007

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 285

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 285

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1477541183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320629",
            "telephone_number": "252-482-8451",
            "fax_number": "252-482-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329668",
            "telephone_number": "252-482-8451",
            "fax_number": "252-482-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH - CHOWAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "WARLITNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-482-6744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "0004W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.