Provider Demographics
NPI:1124652698
Name:GOOD HOPE HOSPITAL, INC.
Entity type:Organization
Organization Name:GOOD HOPE HOSPITAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-230-4011
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:NC
Mailing Address - Zip Code:28339-0639
Mailing Address - Country:US
Mailing Address - Phone:910-230-4011
Mailing Address - Fax:910-660-0948
Practice Address - Street 1:410 DENIM DR
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:NC
Practice Address - Zip Code:28339-2204
Practice Address - Country:US
Practice Address - Phone:910-230-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD HOPE HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-24
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty