| Good Hope Hospital, Inc. | |
|
410 Denim Dr Erwin NC 28339-2204 | |
| (910) 897-6321 | |
| Not Available |
| Full Name | Good Hope Hospital, Inc. |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 410 Denim Dr, Erwin, North Carolina |
| Authorized Official Name and Position | Robert Patterson Cameron (VICE-CHAIRMAN) |
| Authorized Official Contact | 9108976321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Hope Hospital, Inc. 410 Denim Dr Erwin NC 28339-2204 Ph: (910) 897-6321 | Good Hope Hospital, Inc. 410 Denim Dr Erwin NC 28339-2204 Ph: (910) 897-6321 |
| NPI Number | 1477812519 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 4486566197 |
|---|---|
| Medicare Enrollment ID | O20031103000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477812519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
| Provider Name | Ashraf G Mikhail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083690515 PECOS PAC ID: 0749274967 Enrollment ID: I20040412000817 |
| Provider Name | Delores E Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245301803 PECOS PAC ID: 2365354586 Enrollment ID: I20120329000517 |
| Provider Name | Lourdes T Illa-sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952317109 PECOS PAC ID: 8123144482 Enrollment ID: I20140923000227 |
| Provider Name | Pamela Autry Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467197301 PECOS PAC ID: 0941688170 Enrollment ID: I20221020000457 |
| Provider Name | Stephanny Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043978703 PECOS PAC ID: 3476940321 Enrollment ID: I20221021001050 |
| Provider Name | Joemel Jay Mediavilla Baloyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588437065 PECOS PAC ID: 2860841251 Enrollment ID: I20231211002179 |
| Provider Name | Trishna Chand Thakur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093367856 PECOS PAC ID: 4486982535 Enrollment ID: I20240701002003 |
| Provider Name | Mary Mahiquez Sinclair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770063604 PECOS PAC ID: 5890188361 Enrollment ID: I20240814000263 |
Excel Outreach Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Butler Dr, Erwin, NC 28339 Phone: 910-658-2199 Fax: 910-491-9692 | |
Group Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Denim Dr, Suite 101, Erwin, NC 28339 Phone: 919-822-2172 | |
Community Health &wellness Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 13th St, Suite 18a, Erwin, NC 28339 Phone: 910-230-0626 | |
After 3 Matters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Butler Dr, Erwin, NC 28339 Phone: 910-658-2199 Fax: 910-491-9692 |