Provider Demographics
NPI:1538450242
Name:UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Entity type:Organization
Organization Name:UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, UNC HOSPITALS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:HADAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-974-2819
Mailing Address - Street 1:4400 EMPEROR BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8418
Mailing Address - Country:US
Mailing Address - Phone:984-974-6778
Mailing Address - Fax:984-974-6719
Practice Address - Street 1:4400 EMPEROR BLVD
Practice Address - Street 2:STE 100
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8418
Practice Address - Country:US
Practice Address - Phone:984-974-6778
Practice Address - Fax:984-974-6719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC110603336H0001X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0920716Medicaid
2131561OtherPK