CAROLINA HEALTHCARE ASSOCIATES INC NPI 1720104409

NPI Information

NPI: 1720104409
Provider Name: CAROLINA HEALTHCARE ASSOCIATES, INC

Doing Business As: NURSE PRACTITIONERS

Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
2131 S 17TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-7000
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CAROLINA HEALTHCARE ASSOCIATES, INC is a general practice registered nurse in Wilmington, NC. CAROLINA HEALTHCARE ASSOCIATES, INC NPI is 1720104409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nurse Practitioners.

The provider's business location address is:

2131 S 17TH ST
WILMINGTON, NC
ZIP 28401-407
Phone: (910) 343-7000
Fax: (910) 772-9452

The provider's authorized official is Debra Burton .
The authorized official title is Director and has the following contact phone number (910) 343-7000.

The enumeration date for this NPI number is 3/22/2007 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	163WG0000X	Registered Nurse	General Practice		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	7000489	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: 4/28/2024

NPI Synchronization or Removal

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