ENGELHARD MEDICAL CENTER NPI 1063472116

NPI Information

NPI: 1063472116
Provider Name: ENGELHARD MEDICAL CENTER

Doing Business As: ENGELHARD MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
33270 US 264
ENGELHARD, NC
ZIP 27824
Phone: (252) 925-7000
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ENGELHARD MEDICAL CENTER is a federally qualified health center (fqhc) clinic center in Engelhard, NC. ENGELHARD MEDICAL CENTER NPI is 1063472116. The provider is registered as an organization entity type.
The provider Is Doing Business As Engelhard Medical Center.

The provider's business location address is:

33270 US 264
ENGELHARD, NC
ZIP 27824-277
Phone: (252) 925-7000
Fax: (252) 925-7700

The provider's authorized official is Jamie Carter .
The authorized official title is Billing Manager and has the following contact phone number (252) 925-0058.

The CLIA number assigned to this NPI record is 34D1030777 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 12/29/2023.

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	261Q00000X	Clinic/Center				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	017N7	OTHER	NORTH CAROLINA	BCBS NC
2	56162	OTHER	NORTH CAROLINA	MEDCOST
3	5913132	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: 4/28/2024

NPI Synchronization or Removal

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