Coastal Carolina Internal Medicine, Pa

LBN: Coastal Carolina Internal Medicine, Pa
Coastal Carolina Internal Medicine, Pa is an health care organization with primary practice located at 2420 Henderson Dr , Jacksonville NC 28546-5254. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Coastal Carolina Internal Medicine, Pa can be contacted via phone (910) 937-0008, or through Ros, Mitzi M via phone (910) 937-0008.

Contact Information

Primary practice address
2420 Henderson Dr Jacksonville NC 28546-5254
Phone: (910) 937-0008
Fax: (910) 937-0098
Website:
Map and Directions
Authorized official contact:
Name: Ros, Mitzi M Registered Nurse (RN)
Phone: (910) 937-0008

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 200200443 North Carolina

Profile Details

NPI number 1881619740
LBN Legal business name Coastal Carolina Internal Medicine, Pa
DBA Doing business as
Authorized official Ros, Mitzi M Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881619740 NPPES
North Carolina MEDICAID 8913181
North Carolina Other 13181

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