EXCELLENT SPIRIT ENTERPRISE, INC. (NPI# 1619033115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619033115 |
Entity Type | Organization |
Organization Name | EXCELLENT SPIRIT ENTERPRISE, INC. |
Other Organization Name | MEDICAL CLINIC OF SHARPSBURG |
Practice Address |
9201 County Line Road Sharpsburg NC 27878-0098 |
Mailing Address |
9201 County Line Road P.o. Box 98 Sharpsburg NC 27878-0098 |
Practice Telephone | 2524464455 |
Mailing Telephone | 2524464455 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2011-01-26 |
Authorized Official Name | JOHN R. PICKETT (PROVIDER) |
Authorized Official Telephone | 2524464455 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
200000114 | NC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Medical Clinic of Sharpsburg | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760715486 | Excellent Spirit Enterprise, Inc. | Clinic/Center | 9201 County Line Road, Sharpsburg, NC 27878-9998 | 2009-09-14 |
Street Address |
9201 COUNTY LINE ROAD |
City | SHARPSBURG |
State | NC |
Zip Code | 27878-0098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760715486 | Excellent Spirit Enterprise, Inc. | Clinic/Center | 9201 County Line Road, Sharpsburg, NC 27878-9998 | 2009-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346752607 | Dva Renal Healthcare, Inc. | Clinic/Center | 191 Se Railroad St, Sharpsburg, NC 27878 | 2017-10-26 |
1588915961 | Comprehensive Community Care, Inc. | Community/Behavioral Health | 605 Judge St., Sharpsburg, NC 27878 | 2012-09-26 |
1629134127 | John Robert Pickett | Family Medicine | 9201 County Line Rd., Sharpsburg, NC 27878 | 2006-12-29 |
1881996635 | New Directions of Sharpsburg, Inc | Day Training, Developmentally Disabled Services | 216 East Main Street, Sharpsburg, NC 27878-9999 | 2010-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
1124632310 | Allison Strasser Hartung | Nurse Practitioner | 291 Tomahawk Dr, Sharpsburg, GA 30277-1775 | 2020-09-03 |
1295347433 | Joshua Su-keong Chao | Pharmacist | 40 Fischer Crossings Blvd, Sharpsburg, GA 30277 | 2020-08-19 |
1053944413 | Shenise R Demons | Physical Therapist | 15 Thomas Grace Annex Ln Ste 100, Sharpsburg, GA 30277-3662 | 2020-02-13 |
1902446057 | Candice Dela Cruz | Physical Therapist | 103 Saint James Pl, Sharpsburg, GA 30277-2303 | 2020-01-07 |
1447897764 | Nicole Turvey | Physical Therapist | 237 Timbercreek Estates Dr, Sharpsburg, GA 30277-3582 | 2019-12-05 |
1477196764 | Sabrina Alicia Lee | Counselor | 235 London Ln, Sharpsburg, GA 30277-1749 | 2019-10-20 |
1700427002 | Allegheny Health Network Home Infusion LLC | Pharmacy | 311 23rd Street Ext Ste 500, Sharpsburg, PA 15215-2821 | 2019-10-08 |
1306493564 | Nichole Marie Dinwiddie | Nurse Practitioner | 35 Sweetwater Ct, Sharpsburg, GA 30277-1879 | 2019-08-22 |
Find all providers in SHARPSBURG |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184125924 | Meadowview Physician Practice LLC | Clinic/Center | 601 Main St, Sharpsburg, KY 40374-9115 | 2018-02-27 |
1760715486 | Excellent Spirit Enterprise, Inc. | Clinic/Center | 9201 County Line Road, Sharpsburg, NC 27878-9998 | 2009-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689209553 | Murphy Medical Center Inc | Clinic/Center | 125 Medical Park Ln Ste H, Murphy, NC 28906-6921 | 2020-03-11 |
1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
Find all providers with the same taxonomy |
City | SHARPSBURG |
Zip Code | 27878 |
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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.