PUNGO DISTRICT HOSPITAL CORPORATION (NPI# 1164543286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164543286 |
| Entity Type | Organization |
| Organization Name | PUNGO DISTRICT HOSPITAL CORPORATION |
| Other Organization Name | VIDANT PUNGO HOSPITAL |
| Practice Address |
202 E Water St Belhaven NC 27810-1450 |
| Practice Telephone | 2529432111 |
| Practice Fax Number | 2529442236 |
| Mailing Telephone | 2529432111 |
| Mailing Fax Number | 2529442236 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | MR. HARVEY CASE (PRESIDENT) |
| Authorized Official Telephone | 2529442208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | H0002 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3461310 | 05 |
| Other Name | Type Code |
|---|---|
| Vidant Pungo Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346205978 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-18 |
| 1487851879 | Pungo District Hospital Corporation | Ambulance | 202 E Water St, Belhaven, NC 27810-1450 | 2007-06-28 |
| 1073634192 | Pungo District Hospital Corporation | Psychologist | 202 E Water St, Belhaven, NC 27810-1450 | 2007-04-03 |
| 1982725008 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2007-04-03 |
| 1528189305 | Pungo District Hospital Corporation | Respite Care | 202 E Water St, Belhaven, NC 27810-1450 | 2007-04-02 |
| 1114068780 | Pungo District Hospital Corporation | Pharmacy | 202 E Water St, Belhaven, NC 27810-1450 | 2007-02-08 |
| 1649235797 | Pungo District Hospital Corporation | Medicare Defined Swing Bed Unit | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-20 |
| 1689639908 | Pungo District Hospital Corporation | Skilled Nursing Facility | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-19 |
| Street Address |
202 E WATER ST |
| City | BELHAVEN |
| State | NC |
| Zip Code | 27810-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346205978 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-18 |
| 1912286030 | William Butros Bitar | Dietitian, Registered | 202 E Water St, Belhaven, NC 27810-1450 | 2011-08-07 |
| 1487851879 | Pungo District Hospital Corporation | Ambulance | 202 E Water St, Belhaven, NC 27810-1450 | 2007-06-28 |
| 1073634192 | Pungo District Hospital Corporation | Psychologist | 202 E Water St, Belhaven, NC 27810-1450 | 2007-04-03 |
| 1982725008 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2007-04-03 |
| 1528189305 | Pungo District Hospital Corporation | Respite Care | 202 E Water St, Belhaven, NC 27810-1450 | 2007-04-02 |
| 1427188325 | Elizabeth Donna Jewell | Counselor | 202 E Water St, Behavioral Health Services, Belhaven, NC 27810-1450 | 2007-03-07 |
| 1114068780 | Pungo District Hospital Corporation | Pharmacy | 202 E Water St, Belhaven, NC 27810-1450 | 2007-02-08 |
| 1619085115 | Mark Stuart Worthen | Family Medicine | 202 E Water St, Belhaven, NC 27810-1450 | 2006-08-26 |
| 1649235797 | Pungo District Hospital Corporation | Medicare Defined Swing Bed Unit | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649641093 | Katlyn Keech Peele | Nurse Practitioner | 598 West County Rd, Belhaven, NC 27810 | 2015-10-12 |
| 1437116761 | Helene Miller O'neal | Nurse Practitioner | 216 Haslin Street, Belhaven, NC 27810 | 2006-04-28 |
| 1083671135 | Charles Otis Boyette Md | Family Medicine | 216 Haslin Street, Belhaven, NC 27810 | 2006-05-01 |
| 1821525692 | Cameron Blake Smith | Nurse Practitioner | 146 N Ravenwood Ln, Belhaven, NC 27810-0059 | 2017-05-11 |
| 1467851626 | Coastal Family Practice, Pllc | Nurse Practitioner | 820 W Main St, Belhaven, NC 27810-1120 | 2014-08-13 |
| 1497196299 | Oneals Drug Store Inc | Pharmacist | 820 W Main St, Belhaven, NC 27810-1120 | 2013-07-10 |
| 1538266473 | Oneals Drug Store Inc | Pharmacy | 820 W Main St, Belhaven, NC 27810-1120 | 2006-09-20 |
| 1699880971 | Pungo Family Medicine Pa | Family Medicine | 245 Allen Street, Belhaven, NC 27810-1405 | 2006-08-20 |
| 1548246499 | David Horace Elliott II | Dentist | 233 Allen St, Belhaven, NC 27810-1405 | 2005-12-21 |
| 1265646053 | David H. Elliott, II | Exclusive Provider Organization | 233 Allen St, Belhaven, NC 27810-1405 | 2007-05-10 |
| Find all providers in zip 27810 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841617974 | Christopher Rushmeyer | Nursing Facility/Intermediate Care Facility | 1820 Harris Houston Rd, Unit 621411, Charlotte, NC 28262-9253 | 2014-03-26 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1194077024 | Skill Creations | Nursing Facility/Intermediate Care Facility | 2101 Royall Ave, Goldsboro, NC 27534-7408 | 2012-10-02 |
| 1093066375 | Sci-east | Nursing Facility/Intermediate Care Facility | 338 Cooper St, Winterville, NC 28590-9507 | 2012-09-26 |
| 1053662437 | Skill Creations of Clinton | Nursing Facility/Intermediate Care Facility | 223 Forest Trail, Clinton, NC 28328-3353 | 2012-09-26 |
| 1821349101 | Sci-duplin House | Nursing Facility/Intermediate Care Facility | 120 Orville Street, Warsaw, NC 28398-2221 | 2012-09-26 |
| 1801147186 | Skill Creations of Kenansville | Nursing Facility/Intermediate Care Facility | 218 S Stokes Street, Kenansville, NC 28349-0001 | 2012-09-26 |
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1760732994 | Sci-triangle House II | Nursing Facility/Intermediate Care Facility | 1523 Tyonek Dr, Durham, NC 27703-5639 | 2012-09-14 |
| 1275883498 | Skill Creations of Kinston | Nursing Facility/Intermediate Care Facility | 901 Doctors Dr, Kinston, NC 28501-1574 | 2012-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.