NORTH RIVER PRIMECARE PC NPI 1356695613

NPI Information

  • NPI: 1356695613
  • Provider Name: NORTH RIVER PRIMECARE PC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 301 JONES AVE
    BEAUFORT, NC
    ZIP 28516
  • Phone: (252) 728-3252

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NPI Details

NORTH RIVER PRIMECARE PC is an adult health nurse practitioner in Beaufort, NC. NORTH RIVER PRIMECARE PC NPI is 1356695613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 JONES AVE
BEAUFORT, NC
ZIP 28516-514
Phone: (252) 728-3252
Fax: (252) 728-3251

The provider's authorized official is Sarah Jane Randell .
The authorized official title is Billing Manager and has the following contact phone number (252) 728-3252.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 12/19/2012.

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
1363LA2200XNurse PractitionerAdult Health900119NORTH CAROLINAYes

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
17005549MEDICAIDNORTH CAROLINA
25907341MEDICAIDNORTH CAROLINA
37004406MEDICAIDNORTH CAROLINA
4NC3116AMEDICARE PINNORTH 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: 11/21/2025

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