Provider Demographics
NPI:1386954535
Name:GRANVILLE HEALTH INC
Entity type:Organization
Organization Name:GRANVILLE HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP AMBULATORY SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIGSBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-690-3000
Mailing Address - Street 1:PO BOX 947
Mailing Address - Street 2:1010 COLLEGE STREET
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-0947
Mailing Address - Country:US
Mailing Address - Phone:919-690-3000
Mailing Address - Fax:919-690-3400
Practice Address - Street 1:1010 COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-0947
Practice Address - Country:US
Practice Address - Phone:919-690-3000
Practice Address - Fax:919-690-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty