Rural hospitals in North Carolina

44 listed hospitals. Critical access, rural emergency, and rural PPS — together in one place.

CMS snapshot: Q2 2026. Not a live status check.

North Carolina

Three types. One directory.

Critical access (CAH)

Small hospitals with inpatient beds and 24/7 emergency care. Medicare pays based on care costs.

Rural emergency (REH)

Emergency and outpatient care, without regular inpatient stays. Medicare uses a separate REH payment model.

Rural PPS

Rural hospitals in Medicare’s inpatient payment system. Medicare pays a set rate for each type of stay.

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44 hospitals in North Carolina

Rural hospital listings from CMS
Hospital	Type	State	Beds*
Advent Health Polk Columbus, NC 28722 CMS ID 341322	CAH	NC	35
Alleghany Memorial Hospital Sparta, NC 28675 CMS ID 341320	CAH	NC	25
Angel Medical Center Franklin, NC 28734 CMS ID 341326	CAH	NC	25
Ashe Memorial Hospital Jefferson, NC 28640 CMS ID 341325	CAH	NC	76
Atrium Health Cleveland Shelby, NC 28150 CMS ID 340021	Rural PPS	NC	241
Atrium Health Stanly Albemarle, NC 28001 CMS ID 340119	Rural PPS	NC	109
Blue Ridge Regional Hospital Spruce Pine, NC 28777 CMS ID 341329	CAH	NC	85
Cape Fear Valley-Bladen County Hospital Elizabethtown, NC 28337 CMS ID 341315	CAH	NC	35
Carteret General Hospital Morehead City, NC 28557 CMS ID 340142	Rural PPS	NC	117
Central Carolina Hospital Sanford, NC 27330 CMS ID 340020	Rural PPS	NC	137
Charles A Cannon Jr Memorial Hospital Linville, NC 28646 CMS ID 341323	CAH	NC	40
Chatham Hospital Inc Siler City, NC 27344 CMS ID 341311	CAH	NC	68
Cherokee Indian Hospital Authority Cherokee, NC 28719 CMS ID 340156	Rural PPS	NC	26
Columbus Regional Healthcare System Whiteville, NC 28472 CMS ID 340068	Rural PPS	NC	166
Ecu Health Bertie Hospital Windsor, NC 27983 CMS ID 341304	CAH	NC	15
Ecu Health North Hospital Roanoke Rapids, NC 27870 CMS ID 340151	Rural PPS	NC	206
Erlanger Murphy Medical Center Murphy, NC 28906 CMS ID 341328	CAH	NC	50
Firsthealth Montgomery Memorial Hosp Troy, NC 27371 CMS ID 341303	CAH	NC	25
Firsthealth Moore Regional Hospital Pinehurst, NC 28374 CMS ID 340115	Rural PPS	NC	395
Harris Regional Hospital Sylva, NC 28779 CMS ID 340016	Rural PPS	NC	86
Highlands Cashiers Hospital Highlands, NC 28741 CMS ID 341316	CAH	NC	25
Hugh Chatham Memorial Hospital Elkin, NC 28621 CMS ID 340097	Rural PPS	NC	81
J Arthur Dosher Memorial Hospital Southport, NC 28461 CMS ID 341327	CAH	NC	25
Lifebrite Community Hospital Of Stokes Danbury, NC 27016 CMS ID 341317	CAH	NC	93
Maria Parham Medical Center Henderson, NC 27536 CMS ID 340132	Rural PPS	NC	102
Mission Hospital Mcdowell Marion, NC 28752 CMS ID 340087	Rural PPS	NC	65
Northern Regional Hospital Mount Airy, NC 27030 CMS ID 340003	Rural PPS	NC	112
Pender Memorial Hospital Burgaw, NC 28425 CMS ID 341307	CAH	NC	25
Rutherford Regional Medical Center Rutherfordton, NC 28139 CMS ID 340013	Rural PPS	NC	143
Sampson Regional Medical Center Clinton, NC 28328 CMS ID 340024	Rural PPS	NC	146
Scotland Memorial Hospital Laurinburg, NC 28352 CMS ID 340008	Rural PPS	NC	104
Sentara Albemarle Medical Center Elizabeth City, NC 27909 CMS ID 340109	Rural PPS	NC	182
Southeastern Regional Medical Center Lumberton, NC 28359 CMS ID 340050	Rural PPS	NC	314
Swain County Hospital Bryson City, NC 28713 CMS ID 341305	CAH	NC	48
The Outer Banks Hospital, Inc Nags Head, NC 27959 CMS ID 341324	CAH	NC	19
Transylvania Regional Hospital, Inc Brevard, NC 28712 CMS ID 341319	CAH	NC	25
Unc Lenoir Health Care Kinston, NC 28501 CMS ID 340027	Rural PPS	NC	235
Vidant Chowan Hospital Edenton, NC 27932 CMS ID 341318	CAH	NC	25
Vidant Duplin Hospital Kenansville, NC 28349 CMS ID 340120	Rural PPS	NC	101
Vidant Roanoke Chowan Hospital Ahoskie, NC 27910 CMS ID 340099	Rural PPS	NC	124
Washington County Hosp Inc Plymouth, NC 27962 CMS ID 341314	CAH	NC	49
Watauga Medical Center Boone, NC 28607 CMS ID 340051	Rural PPS	NC	117
Wilkes Regional Medical Center North Wilkesboro, NC 28659 CMS ID 340064	Rural PPS	NC	120
Wilson Medical Center Wilson, NC 27893 CMS ID 340126	Rural PPS	NC	317

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*CMS reported total beds, not beds available today or the CAH acute-bed limit. REHs do not offer regular inpatient stays; their bed count is not shown.

About this list

CAH and REH labels come from CMS provider types. Rural PPS means an active short-term hospital marked rural in CMS POS, matched by CMS ID to the FY 2026 IPPS file. This does not include every hospital that may qualify for a rural program.

Some CAHs and REHs sit in metro counties and still hold their Medicare status. This list excludes urban PPS hospitals, unverified microhospitals, and standalone ERs without one of these CMS types.

Downloaded November 6, 2026. Different CMS files can have different counts and dates.

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