Our Community Hospital, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

9047 Issued in NC

Legal business name

OUR COMMUNITY HOSPITAL, INC

Practice address

921 Jr High School Rd
Scotland Neck, NC 27874-1219

Phone

(252) 826-4144

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Angela T Hicks

Title

Controller

Phone

(252) 826-4144

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Our Community Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Our Community Hospital, Inc

  • Critical Access Hospital
  • Scotland Neck, NC
  • NPI 1790809440
  NPD tax ID

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710002258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 JR HIGH SCHOOL RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278741219",
            "telephone_number": "252-826-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 JR HIGH SCHOOL RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278741219",
            "telephone_number": "252-826-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "252-826-4144"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "9047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920635",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Mullins, PHARM.D.
• Kayla Natta
• Sheshana Nicholson
• Northeastern Clinical Network Services, Inc
• Our Community Hospital, Inc
• Our Community Hospital, Inc
• Emily Grace Polhamus, APRN
• Kimberlyn C Richardson
• Rural Carolina Ambulance Service, LLC
• Rural Health Group, Inc. (Rural Health Group at Scotland Neck)

• Skilled Nursing Facility in Scotland Neck, NC
• Providers in Scotland Neck, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.