COASTAL CAROLINA HEALTH CARE PA (NPI# 1386194397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386194397 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA HEALTH CARE PA |
| Other Organization Name | CCHC ORIENTAL MEDICAL CENTER |
| Practice Address |
901 Broad St Oriental NC 28571-9783 |
| Practice Telephone | 2522492888 |
| Mailing Telephone | 2522492888 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | STEPHEN W NUCKOLLS (CEO) |
| Authorized Official Telephone | 2525146685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CCHC Oriental Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750567970 | Coastal Carolina Health Care Pa | Clinic/Center | 1020 Medical Park Avenue, New Bern, NC 28562-5248 | 2008-01-17 |
| 1447290010 | Coastal Carolina Health Care Pa | Clinic/Center | 1030 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-08 |
| 1306885975 | Coastal Carolina Health Care Pa | Clinic/Center | 1010 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-06 |
| 1528623790 | Coastal Carolina Health Care Pa | Hospitalist | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2019-05-03 |
| 1063962074 | Coastal Carolina Health Care Pa | Clinic/Center | 606 Main St, Bayboro, NC 28515-9632 | 2016-10-13 |
| 1073911822 | Coastal Carolina Health Care Pa | Clinic/Center | 108 Market St, New Bern, NC 28560-6704 | 2014-12-10 |
| 1477992501 | Coastal Carolina Health Care Pa | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2013-06-21 |
| 1821394800 | Coastal Carolina Health Care Pa | Internal Medicine | 975 Newman Rd, New Bern, NC 28562-5252 | 2011-02-08 |
| 1780623207 | Coastal Carolina Health Care Pa | Clinic/Center | 702 Newman Rd, New Bern, NC 28562-5238 | 2006-06-06 |
| 1225077746 | Coastal Carolina Health Care Pa | Clinic/Center | 3252 Wellons Blvd, New Bern, NC 28562-5234 | 2006-06-06 |
| Street Address |
901 BROAD ST |
| City | ORIENTAL |
| State | NC |
| Zip Code | 28571-9783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841233871 | Marc A Willi | Family Medicine | 901 Broad St, Oriental, NC 28571-9783 | 2006-06-14 |
| 1285781740 | Pamlico Medical Center Pa | Neuromusculoskeletal Medicine & OMM | 901 Broad St, Oriental, NC 28571 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425501 | Amy Tankersley | Massage Therapist | 503 Church St., #11, Oriental, NC 28571 | 2018-01-31 |
| 1760773337 | Denton Pharmacy, Inc | Pharmacy | 807 D Broad St, Oriental, NC 28571 | 2011-04-29 |
| 1780827634 | David Chase Kibbe | Family Medicine | 1105 Link Ln, Oriental, NC 28571 | 2009-04-08 |
| 1174764005 | Florence Elizabeth Perry | Pharmacist | 642 Oriental Rd, Oriental, NC 28571 | 2009-03-24 |
| 1275921983 | Polly Meyer | Physical Therapist | 1006 Broad Street, Oriental, NC 28571 | 2015-01-05 |
| 1306101720 | Lisa M Piper | Physical Therapist | 1006 Broad St, Oriental, NC 28571 | 2012-07-11 |
| 1629389812 | Elaine E Hills | Physical Therapist | 1006 Broad Street, Oriental, NC 28571 | 2010-06-23 |
| 1891867792 | Jan Powers Laguardia | Physical Therapist | 1006 Broad Street, Oriental, NC 28571 | 2006-11-15 |
| 1205809423 | Jennifer H Smart | Specialist | 1006 Broad Street, Oriental, NC 28571-0769 | 2006-02-08 |
| 1093916538 | Village Health & Fitness | Clinic/Center | 1006 Broad St, Oriental, NC 28571-0894 | 2007-05-31 |
| Find all providers in zip 28571 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.