Sampson Regional Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0257 Issued in NC

Legal business name

SAMPSON REGIONAL MEDICAL CENTER

Practice address

508 Beaman St
Clinton, NC 28328-2602

Phone

(910) 590-5312

Fax

(910) 590-5305

NPI assigned

Mar 30, 2007

Organization subpart

Yes

Parent organization

SAMPSON REGIONAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Gerald Thomas Heinzman Jr.

Title

Ceo

Phone

(910) 590-8729

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SAMPSON HOME HEALTH Doing business as

Part of

Sampson County Mem Hosp

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Hornick, PT, DPT

  • Physical Therapist
  • Clinton, NC
  • NPI 1215527304
  NPD
• Emily B Barefoot, LPT

  • Physical Therapist
  • Smithfield, NC
  • NPI 1235360983
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1508986944",
    "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": "910-596-4262",
            "fax_number": "910-592-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-590-5312",
            "fax_number": "910-590-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMPSON REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "HEINZMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-590-8729",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0075T",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMPSON HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Sampson Regional Medical Center, Inc.
• Sampson Regional Medical Services LLC

• All providers in Clinton, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.