| Durham Regional Hospital | |
|
3643 N Roxboro St Durham NC 27704-2702 | |
| (919) 620-1078 | |
| (919) 620-1247 |
| Full Name | Durham Regional Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3643 N Roxboro St, Durham, North Carolina |
| Authorized Official Name and Position | John Stuart Smith (VP FINANCE) |
| Authorized Official Contact | 9196138995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Regional Hospital Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Durham Regional Hospital 3643 N Roxboro St Durham NC 27704-2702 Ph: (919) 620-1078 |
| NPI Number | 1811996820 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Medicare PECOS PAC ID | 2567372345 |
|---|---|
| Medicare Enrollment ID | O20080311000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811996820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H0233 (North Carolina) | Primary |
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