EXCELLENT SPIRIT ENTERPRISE INC. NPI 1619033115

NPI Information

  • NPI: 1619033115
  • Provider Name: EXCELLENT SPIRIT ENTERPRISE, INC.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: MEDICAL CLINIC OF SHARPSBURG
  • Address: 9201 COUNTY LINE ROAD
    SHARPSBURG, NC
    ZIP 27878
  • Phone: (252) 446-4455

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NPI Details

EXCELLENT SPIRIT ENTERPRISE, INC. is a rural health clinic center in Sharpsburg, NC. EXCELLENT SPIRIT ENTERPRISE, INC. NPI is 1619033115. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Clinic Of Sharpsburg.

The provider's business location address is:

9201 COUNTY LINE ROAD
SHARPSBURG, NC
ZIP 27878-098
Phone: (252) 446-4455

The provider's authorized official is John R. Pickett .
The authorized official title is Provider and has the following contact phone number (252) 446-4455.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 1/26/2011.

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
1261QR1300XClinic/CenterRural Health200000114NORTH 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
1348948MEDICARE OSCAR/CERTIFICATIONNORTH 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: 3/30/2025

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