Coastal Pediatric Care, Inc

LBN: Coastal Pediatric Care, Inc
Coastal Pediatric Care, Inc is an health care organization with primary practice located at 212 N 35Th St , Morehead City NC 28557-3104. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Coastal Pediatric Care, Inc can be contacted via phone (252) 247-5212, or through Wallace, Betty W via phone (252) 247-5212.

Contact Information

Primary practice address
212 N 35Th St Morehead City NC 28557-3104
Phone: (252) 247-5212
Fax: (252) 247-1034
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Betty W RN, MSN, PNP
Phone: (252) 247-5212

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X North Carolina

Profile Details

NPI number 1235126830
LBN Legal business name Coastal Pediatric Care, Inc
DBA Doing business as
Authorized official Wallace, Betty W RN, MSN, PNP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1235126830 NPPES
North Carolina MEDICAID 7000101

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