Williamston Hospital Corporation

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

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 30, 2006

Organization subpart

No

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

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1851362669",
    "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": "NO",
        "enumeration_date": "2006-01-30",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00044",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400133",
            "state": "NC"
        }
    ],
    "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"
        }
    ]
}

• 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
• D'Asya Wilson

• General Acute Care Hospital in Williamston, NC
• Providers in Williamston, NC by specialty
• General Acute Care Hospital 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.