NPIMap

Organization Active NPI

East Carolina Health - Heritage Inc

Doing business as ECU Health Edgecombe Hospital

  • General Acute Care Hospital
  • Tarboro, NC
National Provider Identifier
1699757393
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0258 Issued in NC
Legal business name
EAST CAROLINA HEALTH - HERITAGE INC
Doing business as
ECU Health Edgecombe Hospital
Vidant Edgecombe Hospital
Practice address
111 Hospital Dr
Tarboro, NC 27886-2011
Phone
(252) 641-7700
NPI assigned
Nov 17, 2005
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mr. Patrick M Heins
Title
President
Phone
(252) 641-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0258 NC Primary

Addresses

Primary practice location

111 Hospital Dr
Tarboro, NC 27886-2011

Mailing address

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700

Other identifiers 2

IdentifierTypeStateIssuer
3400107MedicaidNC
0003VOtherNCBCBS PROVIDER NUMBER

Other names 2

  • ECU Health Edgecombe Hospital Doing business as
  • Vidant Edgecombe Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040106000160 NC Part A Provider - Hospital 4789582594 Practice locations: Tarboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699757393. Details of each certification follow.

Hospital certification: CCN 340107

Legal name
EAST CAROLINA HEALTH - HERITAGE INC
Doing business as
ECU HEALTH EDGECOMBE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 21, 2009
Beds
83 (82 certified)
Ownership / control type
Local
Most recent change of ownership
Oct 1, 1998 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 16, 1998 in NC
Enrollment address
111 Hospital Dr
Tarboro, NC 27886-2011
Hospital Rehabilitation Unit
Hospital subgroups
General, Acute care, Swing-bed approved, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Vidant Edgecombe HospitalCCN 340107 · All quality measures
Overall star rating
3 of 5
Type
Acute Care 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 HLTH Heritage5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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.

Ownership & related parties

All disclosed owners & managing parties 13

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
Michael G McLaughlin Individual Corporate DirectorDirector Mar 1, 2026
Patrick Heins Individual Corporate OfficerPresident Nov 26, 2018
W-2 Managing EmployeePresident Nov 26, 2018
Andrew Kenneth Zukowski Individual Corporate OfficerSecretary / Treasurer Dec 14, 2022
Ernest L Evans Individual Corporate DirectorDirector Mar 1, 2021
Diane Taylor Individual Corporate DirectorDirector Mar 1, 2020
Michelle Taylor Individual Corporate OfficerVP, Financial SVCS - Operations, Oct 26, 2021
University Health Systems of Eastern Carolina, Inc. Organization, Greenville, NC Corporation, Non-profit Other Nov 24, 1998
Marcus Sailer Albernaz Individual Corporate DirectorDirector Apr 1, 2012
Michael R Waldrum Individual Corporate DirectorCeo, Chain Home Office Jun 1, 2015
Donald Smith Individual Corporate OfficerPresident, East Carolina Health Feb 5, 2024
East Carolina Health Organization, Greenville, NC Corporation, Non-profit Other Oct 1, 1998
Antoine E Khoury Individual Corporate DirectorDirector Mar 1, 2026

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 233

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

View all 233

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1699757393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "252-641-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "252-641-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH - HERITAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HEINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-641-7123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400107",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0003V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Edgecombe Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Edgecombe Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.