EAST CAROLINA GASTROENTEROLOGY ENDOSCOPY CENTER


Address: 4 Office Park Drive, Jacksonville, NC 28546
Phone: 9103536158

EAST CAROLINA GASTROENTEROLOGY ENDOSCOPY CENTER (NPI# 1801989785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801989785
Entity Type Organization
Organization Name EAST CAROLINA GASTROENTEROLOGY ENDOSCOPY CENTER
Practice Address 4 Office Park Drive
Jacksonville
NC 28546
Mailing Address Po Box 12094
Jacksonville
NC 28546
Practice Telephone 9103536158
Practice Fax Number 9103537257
Mailing Telephone 9103536158
Mailing Fax Number 9103537257
Enumeration Date 2006-10-02
Last Update Date 2020-08-22
Authorized Official Name PETER EWEJE (PRESIDENT)
Authorized Official Telephone 9103536158
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Office Location

Street Address 4 OFFICE PARK DRIVE
City JACKSONVILLE
State NC
Zip Code 28546

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Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1407097488 Asheville Urgent Care PC Clinic/Center 160 Hendersonville Rd, Asheville, NC 28803 2009-03-20
1902988801 Stokes Reynolds Memorial Hospital, Inc. Clinic/Center 402 West King Street, King, NC 27021-0402 2006-10-19
1033174487 Clinton Associates LLP Clinic/Center 136 Mimosa Dr, Asheville, NC 28806-1719 2006-04-19
1952397028 Immediate Care of Goldsboro, Pllc Clinic/Center 2604 Medical Office Pl, Goldsboro, NC 27534-9417 2005-09-23
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1841733714 Lifebrite Hospital Group of Stokes, LLC Clinic/Center 1570 Nc 8 and 89 Hwy N, Danbury, NC 27016-7360 2016-11-28
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1114214871 Pioneer Health Services of Stokes County, Inc. Clinic/Center 402 W King St, King, NC 27021-9170 2011-07-01
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Competitor

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City JACKSONVILLE
Zip Code 28546

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Dataset Information

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.

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