Provider Demographics
NPI:1053908509
Name:NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Entity type:Organization
Organization Name:NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP FINANCIAL PLAN & ANALYSIS
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-384-4182
Mailing Address - Street 1:101 N CHERRY ST STE 600
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-4013
Mailing Address - Country:US
Mailing Address - Phone:336-277-1604
Mailing Address - Fax:336-277-9584
Practice Address - Street 1:2131 S 17TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7407
Practice Address - Country:US
Practice Address - Phone:910-667-5147
Practice Address - Fax:910-815-5189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy