NPIMap

Organization Active NPI

New Hanover Regional Medical Center

  • Ambulance
  • Wilmington, NC
National Provider Identifier
1992867170
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NEW HANOVER REGIONAL MEDICAL CENTER
Practice address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone
(910) 343-7000
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Debra P. O'Neill
Title
Director, PFS
Phone
(910) 815-5228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

2131 S 17TH St
Wilmington, NC 28401-7407

Mailing address

2131 S 17TH St
Wilmington, NC 28401-7407

Other identifiers 2

IdentifierTypeStateIssuer
073EHOtherNCNC BLUE CROSS
3406970MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160914001072 NC Part B Supplier - Ambulance Service Supplier 0143110460 Practice locations: Wilmington, NC
O20201222002956 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0143110460 Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory
Tax ID family
New Hanover Memorial Hosp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1333 S Dickinson Dr
Unit 100
Leland, NC 28451
Phone (910) 667-4730

1515 Doctors Cir
#C
Wilmington, NC 28401
Phone (910) 815-5920

1415 Medical Center Dr
Wilmington, NC 28401
Phone (910) 362-4201

1135 Military Cutoff Rd
Ste 101
Wilmington, NC 28405
Phone (910) 256-7997

1115 Military Cutoff Rd
Ste D
Wilmington, NC 28405
Phone (810) 523-1832

2208 S 17th St
Ste 101
Wilmington, NC 28401
Phone (910) 452-8777

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1992867170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-343-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HANOVER REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR, PFS",
        "authorized_official_telephone_number": "910-815-5228"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS",
            "identifier": "073EH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406970",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.