Basic Information
Provider Information
NPI: 1013459692
EntityType: 2
ReplacementNPI:  
OrganizationName: FIRSTHEALTH OF THE CAROLINAS, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: SANDHILLS REGIONAL MEDICAL CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 8500
Address2:  
City: PINEHURST
State: NC
PostalCode: 283748500
CountryCode: US
TelephoneNumber: 9107151010
FaxNumber: 9107151026
Practice Location
Address1: 1000 W HAMLET AVE
Address2:  
City: HAMLET
State: NC
PostalCode: 283454522
CountryCode: US
TelephoneNumber: 9102058000
FaxNumber: 9102058107
Other Information
ProviderEnumerationDate: 11/14/2016
LastUpdateDate: 11/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DEJACO
AuthorizedOfficialFirstName: LYNN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 9107154473
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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