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VIDANT EDGECOMBE HOSPITAL
NPI 1932659281
General Acute Care Hospital in Tarboro, NC

Active since October 11, 2016CLIA Certified · 2 labs
111 HOSPITAL DR, TARBORO, NC 27886(252) 641-7700 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Vidant Edgecombe Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDANT EDGECOMBE HOSPITAL (NPI 1932659281), doing business as East Carolina Health-heritage, Inc, is a healthcare organization registered as a general acute care hospital in Tarboro, North Carolina and active in the NPI registry since October 2016. The organization holds 2 active CLIA laboratory certificates and lists Mary Ann Taylor, Medical Staff Coordinator, as its authorized official.

NPPES Registry Identity

NPI1932659281
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameVIDANT EDGECOMBE HOSPITAL
Location Address111 HOSPITAL DRTarboro, NC 27886-2011
Mailing Address233 Chowan Shores DrColerain, NC 27924-9324 · (252) 717-1618
Phone(252) 641-7700
Organization SubpartNo
Authorized OfficialMary Ann TaylorMedical Staff Coordinator · (252) 641-7735
Enumeration DateOctober 11, 2016
✔ NPI 1932659281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NC · 5008875
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
111 HOSPITAL DR, Tarboro, NC 27886
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Other Names 1

Former Legal Business NameEast Carolina Health-heritage, Inc

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0926710

Vidant Edgecombe Hospital · Tarboro, NC
Active · expires Oct 31, 2027
CLIA Number34D0926710
Laboratory TypeHospital
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorColin E. Crews
Laboratory Phone(252) 641-7177
Laboratory LocationVidant Edgecombe Hospital111 Hospital Drive, Tarboro, NC 27886
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2180583

Vidant Edgecombe Hospital - Cancer Center · Tarboro, NC
Active · expires Mar 16, 2028
CLIA Number34D2180583
Laboratory TypeCancer Center
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorCourtney Parrisher
Laboratory Phone(252) 641-7737
Laboratory LocationVidant Edgecombe Hospital - Cancer Center105 Hospital Drive, Tarboro, NC 27886
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYED SAMI HAIDER MD
Internal Medicine
111 HOSPITAL DR
TARBORO, NC 27886
Edgecombe County (252) 641-7700
DR. MARIYA ZYABLITSKAYA MD
Internal Medicine
111 HOSPITAL DR
TARBORO, NC 27886
Edgecombe County (252) 847-5652
EMMA BLOUNT PT, DPT
Physical Therapist
111 HOSPITAL DR
TARBORO, NC 27886
Edgecombe County (252) 641-7700
THOMAS J PALUCH CRNA
Nurse Anesthetist, Certified Registered
111 HOSPITAL DR
TARBORO, NC 27886
Edgecombe County (252) 641-7170
DR. JON DUBOSE MD
Internal Medicine
111 HOSPITAL DR
TARBORO, NC 27886
Edgecombe County (252) 641-7700
RACHEL HOPE DODSON PERRY PT, DPT
Physical Therapist
111 HOSPITAL DR
TARBORO, NC 27886
Edgecombe County (252) 641-7385
MRS. ROXANNE WYNNE GODLEY MS, RD, LDN
Dietitian, Registered
111 HOSPITAL DR
TARBORO, NC 27886
Edgecombe County (252) 641-8286
DR. LEONARDO LEOPANDO VILLAROSA
Physical Medicine & Rehabilitation
111 HOSPITAL DR, ECU PHYSICIANS PHYSICAL MEDICINE & REHABILITATION
TARBORO, NC 27886
Edgecombe County (252) 641-7375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidant Edgecombe Hospital's NPI number?

The NPI number for Vidant Edgecombe Hospital is 1932659281. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider was formerly known as East Carolina Health-Heritage, Inc.

Where is Vidant Edgecombe Hospital located?

Vidant Edgecombe Hospital is located at 111 Hospital Dr, Tarboro, NC 27886. The listed phone number is (252) 641-7700.

What is Vidant Edgecombe Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Vidant Edgecombe Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vidant Edgecombe Hospital was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.