INTERIM HEALTHCARE OF THE EASTERN CAROLINAS INC NPI 1124216189

NPI Information

NPI: 1124216189
Provider Name: INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
Classification: Home Infusion - 251F00000X
Entity Type: Organization

CLIA Number: 34D2212477

Address:
2413 ROBESON ST STE 7
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 483-6144
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INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC is a home infusion in Fayetteville, NC. INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC NPI is 1124216189. The provider is registered as an organization entity type.

The provider's business location address is:

2413 ROBESON ST STE 7
FAYETTEVILLE, NC
ZIP 28305-500
Phone: (910) 483-6144
Fax: (910) 483-6049

The provider's authorized official is Donna L Byrd .
The authorized official title is President - Owner and has the following contact phone number (910) 642-2106.

The CLIA number assigned to this NPI record is 34D2212477 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 7/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251F00000X	Home Infusion		HC3459	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6800491	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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