EAST CAROLINA HEALTH - CHOWAN INC NPI 1497719496

NPI Information

NPI: 1497719496
Provider Name: EAST CAROLINA HEALTH - CHOWAN INC

Doing Business As: DR. JEFF SEVERA, INTERNAL MEDICINE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
105 MARK DR
SUITE B
EDENTON, NC
ZIP 27932
Phone: (252) 482-3047
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EAST CAROLINA HEALTH - CHOWAN INC is a multi-specialty clinic center in Edenton, NC. EAST CAROLINA HEALTH - CHOWAN INC NPI is 1497719496. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr. Jeff Severa, Internal Medicine.

The provider's business location address is:

105 MARK DR
SUITE B
EDENTON, NC
ZIP 27932-704
Phone: (252) 482-3047
Fax: (252) 482-5061

The provider's authorized official is Jeffrey N. Sackrison .
The authorized official title is President and has the following contact phone number (252) 482-6268.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 7/11/2008.

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	200400743	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	89016CF	MEDICAID	NORTH CAROLINA
2	016CF	OTHER	NORTH CAROLINA	BCBS PROVIDER #
3	2329479	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	MEDICARE PROVIDER #

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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