Organization Active NPI

Duplin General Hospital Incorporated

Doing business as Vidant Duplin Hospital

  • Psychiatric Hospital Unit
  • Kenansville, NC
National Provider Identifier
1902872260
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H0166 Issued in OR
Legal business name
DUPLIN GENERAL HOSPITAL INCORPORATED
Doing business as
Vidant Duplin Hospital
Practice address
401 North Main St
Kenansville, NC 28349
Phone
(910) 296-2603
Fax
(910) 296-1174
NPI assigned
Feb 27, 2006
Last updated
Aug 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Mr. Jay T Briley
Title
President & Ceo
Phone
(910) 296-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H0166 OR Primary

Addresses

Primary practice location

401 North Main St
Kenansville, NC 28349

Mailing address

PO Box 278
Kenansville, NC 28349-0278
Phone (910) 296-2603

Other identifiers 1

IdentifierTypeStateIssuer
3400120SMedicaidNC

Other names 1

  • VIDANT DUPLIN HOSPITAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1902872260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490278",
            "telephone_number": "910-296-2603",
            "fax_number": "910-296-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTH MAIN ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "28349",
            "telephone_number": "910-296-2603",
            "fax_number": "910-296-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPLIN GENERAL HOSPITAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "BRILEY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "910-296-2602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OR",
            "license": "H0166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400120S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDANT DUPLIN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIDANT DUPLIN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.