Halifax Regional Medical Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

H0230 Issued in NC

Legal business name

HALIFAX REGIONAL MEDICAL CENTER

Practice address

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914

Phone

(252) 535-8011

Fax

(252) 535-8466

NPI assigned

Feb 12, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Emery Jensen

Title

Chief Financial Officer

Phone

(252) 535-8005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HALIFAX MEMORIAL HOSPITAL Former legal business name

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1740322593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704914",
            "telephone_number": "252-535-8011",
            "fax_number": "252-535-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704914",
            "telephone_number": "252-535-8011",
            "fax_number": "252-535-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "EMERY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "252-535-8005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "H0230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALIFAX MEMORIAL HOSPITAL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Halifax Psychiatry
• Halifax Regional Medical Center (HRMC Psychiatric SVCS)
• Halifax Regional Medical Center Crna Billing
• Halifax Regional Medical Center Emergency Physicians Billing
• Halifax Regional Medical Center Inc (Halifax Works)
• Halifax Regional Medical Center Inc (ECU Health North Hospital)
• Halifax Regional Medical Center Inc (ECU Health Radiation Oncology - Roanoke Rapids, a Department of ECU Health North Hospital)

• Certified Registered Nurse Anesthetist in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.