EASTERN CAROLINA INTERNAL MEDICINE PA NPI 1215001458

NPI Information

NPI: 1215001458
Provider Name: EASTERN CAROLINA INTERNAL MEDICINE PA
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
906 W B MCLEAN DRIVE
CAPE CARTERET, NC
ZIP 28584
Phone: (252) 393-9007
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EASTERN CAROLINA INTERNAL MEDICINE PA is a multi-specialty clinic center in Cape Carteret, NC. EASTERN CAROLINA INTERNAL MEDICINE PA NPI is 1215001458. The provider is registered as an organization entity type.

The provider's business location address is:

906 W B MCLEAN DRIVE
CAPE CARTERET, NC
ZIP 28584-211
Phone: (252) 393-9007
Fax: (252) 393-9921

The provider's authorized official is Craig A Holton .
The authorized official title is Chief Operating Officer and has the following contact phone number (252) 633-1010.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty	39206	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	89011P6	MEDICAID	NORTH CAROLINA
2	01907	OTHER	NORTH CAROLINA	BCBS NC

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: 5/5/2024

NPI Synchronization or Removal

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