Williamston Hospital Corporation

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

H0078 Issued in NC

Legal business name

WILLIAMSTON HOSPITAL CORPORATION

Practice address

310 S McCaskey Rd
Williamston, NC 27892-2150

Phone

(252) 809-6179

NPI assigned

Jan 31, 2006

Organization subpart

Yes

Parent organization

WILLIAMSTON HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Randy Michael Cooper

Title

SVP Finance Op/Authorized Official

Phone

(615) 221-3840

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Martin General Hospital Doing business as

Part of

Williamston Hospital Corporation

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1629049366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281683",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MCCASKEY RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922150",
            "telephone_number": "252-809-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSTON HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLIAMSTON HOSPITAL CORPORATION",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3840"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NC",
            "license": "H0078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3460133",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martin General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Williamson, PHARM.D.
• Williamston Chiropractic Center
• Williamston Clinic Corp
• Williamston HBP Services LLC
• Williamston Hospital Corporation
• Williamston Hospital Corporation
• Williamston House
• Williamston Medical PLLC
• Williamston Nursing Facility Operations Company, LLC
• Williamston Operating Al, LLC

• Medicare Defined Swing Bed Hospital Unit in Williamston, NC
• Providers in Williamston, NC by specialty
• Medicare Defined Swing Bed Hospital Unit in North Carolina

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