LONG BEACH FAMILY MEDICAL CENTER


Address: 4700 E Oak Island Dr, Suite F, Oak Island, NC 28465-5257
Phone: 9102783500

LONG BEACH FAMILY MEDICAL CENTER (NPI# 1902188964) 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) 1902188964
Entity Type Organization
Organization Name LONG BEACH FAMILY MEDICAL CENTER
Practice Address 4700 E Oak Island Dr
Suite F
Oak Island
NC 28465-5257
Practice Telephone 9102783500
Practice Fax Number 9102787233
Mailing Telephone 9102783500
Mailing Fax Number 9102787233
Enumeration Date 2011-09-15
Last Update Date 2011-09-15
Authorized Official Name DR. MORGAN A TODD (PHYSICIAN)
Authorized Official Telephone 9102783500
Authorized Official Credential M. D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management 200701097 NC Agencies
Y 305R00000X Preferred Provider Organization 200701097 NC Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
NC STATE LICENSE 200701097 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295715076 Long Beach Family Medical Center Legal Medicine 4700 E Oak Island Dr, Suite F, Oak Island, NC 28465-5200 2006-01-18

Office Location

Street Address 4700 E OAK ISLAND DR
SUITE F
City OAK ISLAND
State NC
Zip Code 28465-5257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295715076 Long Beach Family Medical Center Legal Medicine 4700 E Oak Island Dr, Suite F, Oak Island, NC 28465-5200 2006-01-18
1235405358 J. Arthur Dosher Memorial Hospital Clinic/Center 4700 E Oak Island Dr, Oak Island, NC 28465-5257 2012-03-23
1093037731 Melissa Norma Cockrell Nurse Practitioner 4700 E Oak Island Dr, Oak Island, NC 28465-5257 2010-02-23
1194874420 Lorraine M Gauthier Family Medicine 4700 E Oak Island Dr, Oak Island, NC 28465-5257 2007-01-09
1063575249 Heather Lyles Goldfuss Physician Assistant 4700 E Oak Island Dr, Oak Island, NC 28465-5257 2006-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285032326 Chris Phillips Occupational Therapy Assistant 4016 E Beach Dr, Oak Island, NC 28465 2014-12-05
1366597874 Thomas Drugs Inc Durable Medical Equipment & Medical Supplies 7917 E Oak Island Dr, Oak Island, NC 28465 2007-01-24
1912093253 Island Healing Chiropractic Pa Chiropractor 8809 East Oak Island Drive, Oak Island, NC 28465 2006-10-05
1730275058 Karen A Fairfield Chiropractor 8809 East Oak Island Drive, Oak Island, NC 28465 2006-10-05
1700184843 Vicki J Carlson Registered Nurse 308 Ne 54th St, Oak Island, NC 28465-4905 2011-03-13
1538107198 Town of Oak Island Ambulance 4601 E Oak Island Dr, Oak Island, NC 28465-5211 2006-06-03
1902228869 Catherine Cook Social Worker 325 Ne 46th St, Oak Island, NC 28465-5340 2014-01-13
1073790556 Brunswick County Special Needs Inc Community/Behavioral Health 113 Ne 39th St, Oak Island, NC 28465-5638 2008-01-27
1144602699 Patricia Jean Hawkins Occupational Therapy Assistant 113 Ne 39th St, Oak Island, NC 28465-5638 2015-06-22
1104004936 Brunswick County Special Needs Inc Day Training, Developmentally Disabled Services 113 Ne 39th St, Oak Island, NC 28465-5638 2008-02-04
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497299663 Family Focused Network Preferred Provider Organization 5320 Wisbech Ct, Charlotte, NC 28215-5057 2016-12-07
1407304710 Erfan Imeni Kashani D.d.s. Pllc Preferred Provider Organization 2609 N Duke St Ste 501, Durham, NC 27704-3019 2016-09-15
1013362284 Better Communities Preferred Provider Organization 2149 Valleygate Dr Ste 101, Fayetteville, NC 28304-3666 2016-04-25
1427411339 Jordan C Poole Preferred Provider Organization 9 English Ivy Rd, Asheville, NC 28806-5514 2016-03-30
1528429479 Elliott's Veteran Support Group Preferred Provider Organization 201 Strickland Dr, Princeville, NC 27886-9549 2016-03-18
1568857688 Psychotherapeutic Community Services Assoc Preferred Provider Organization 400 W Main St Ste 501, Durham, NC 27701-3295 2015-04-06
1902236961 Enhancement Health Care, Inc. Preferred Provider Organization 2801 Darrow Rd, Durham, NC 27704-2417 2013-11-12
1043646052 Comfort Zone In-home Healthcare Preferred Provider Organization 2400 Wilkes St, High Point, NC 27260-8272 2013-09-23
1255779161 Mitzi Elaine Phillips Preferred Provider Organization 6985 Nuggett Dr, Morganton, NC 28655-7994 2013-06-13
1669712063 Neogenesis Foundation Preferred Provider Organization 3959 Sterling Pointe Dr, Winterville, NC 28590-5800 2013-02-21
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Competitor

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City OAK ISLAND
Zip Code 28465

Improve Information

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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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