ECU HEALTH SURGICENTER – NPI #1124285515
Clinic/Center

ECU HEALTH SURGICENTER is an AHC clinic located in GREENVILLE, NC. NPPES has assigned the NPI number 1124285515 to ECU HEALTH SURGICENTER on May 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ECU HEALTH SURGICENTER” is a dba name, the actual legal business name for this organization is SURGICENTER OF EASTERN CAROLINA LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on May 30, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ECU HEALTH SURGICENTER below.

NPI Profile for
SURGICENTER OF EASTERN CAROLINA LLC

NPI Number
1124285515
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SURGICENTER OF EASTERN CAROLINA LLC
Doing Business As (dba): ECU HEALTH SURGICENTER
Other name(s)
All associated names:
Doing Business As (dba)
ECU HEALTH SURGICENTER
Doing Business As (dba)
Vidant SurgiCenter
Primary location
102 BETHESDA DR
GREENVILLE, NC 27834-7201
Phone: (252) 847-7700 Fax:
Mailing address
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone: (252) 847-7700 Fax: (252) 847-7784
Organization Subpart
No
Authorized Official
STEPHEN TRIPP
PRESIDENT
Phone: (252) 847-7723
Updated
Certification Date
May 30, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ECU HEALTH SURGICENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSNC0062W
MEDICAIDNC3419860
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.