EASTERN CAROLINA MEDICAL CENTER PC NPI 1609822287

NPI Information

NPI: 1609822287
Provider Name: EASTERN CAROLINA MEDICAL CENTER, PC
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
CLIA Number: 34D0662367
Address: 1 MEDICAL DR
BENSON, NC
ZIP 27504
Phone: (919) 894-5787

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NPI Details

EASTERN CAROLINA MEDICAL CENTER, PC is a multi-specialty clinic center in Benson, NC. EASTERN CAROLINA MEDICAL CENTER, PC NPI is 1609822287. The provider is registered as an organization entity type.

The provider's business location address is:

1 MEDICAL DR
BENSON, NC
ZIP 27504-177
Phone: (919) 894-5787
Fax: (919) 207-2039

The provider's authorized official is Pankaj Kirtikant Vyas .
The authorized official title is Owner & President and has the following contact phone number (919) 894-5787.

The CLIA number assigned to this NPI record is 34D0662367 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/26/2006 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	41017	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	890164N	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: 11/21/2025

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