Albemarle Hospital Authority

Organization Active NPI Radiation Oncology Physician · Elizabeth City, NC

NPI 1689701989 · NPPES record last updated May 16, 2012

Key facts

NPI
1689701989
Entity type
Organization (NPI type 2)
Primary specialty
Radiation Oncology Physician 2085R0001X
Legal business name
ALBEMARLE HOSPITAL AUTHORITY
Practice address
1144 N Road St
Elizabeth City, NC 27909-3473
Phone
(252) 384-4168
Fax
(252) 384-4677
NPI assigned
Feb 27, 2007
Organization subpart
No

Authorized official

Name
Mr. Raymond C Owings
Title
Cfo
Phone
(252) 384-4168

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
174400000X
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0001X Yes

Addresses

Primary practice location

1144 N Road St
Elizabeth City, NC 27909-3473

Mailing address

1144 N Road St
Elizabeth City, NC 27909-3473
Phone (252) 384-4168

Other identifiers

IdentifierTypeStateIssuer
2352735OtherNCMEDICARE PTAN
89014PGMedicaidNC
07734OtherNCBLUE CROSS ID
014TKOtherNCBCBS

Other names

  • ALBEMARLE HOSPITAL PROFESSIONAL STAFF Doing business as

Other providers in Elizabeth City, NC

All providers in Elizabeth City, NC · Radiation Oncology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.