Provider Demographics
NPI:1902836943
Name:DLP CENTRAL CAROLINA MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:DLP CENTRAL CAROLINA MEDICAL CENTER LLC
Other - Org Name:CENTRAL CAROLINA HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7000
Mailing Address - Fax:615-920-8913
Practice Address - Street 1:1135 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4162
Practice Address - Country:US
Practice Address - Phone:919-774-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0243282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
598692510OtherAETNA US HEALTHCARE (NATI
6895400OtherUS DEPT OF LABOR BLACK LU
0720FOtherBCBS OF NORTH CAROLINA-AM
NC8907710Medicaid
NC3406692Medicaid
198831600OtherACS OWCP US TREASURY
340020B000000OtherSECTION 1011
NC3400020Medicaid
00306OtherBCBS OF NORTH CAROLINA-HO
15120OtherCOVENTRY HEALTH CARE GEOR
NC3406692Medicaid