Eastern North Carolina Medical Group, Pllc
LBN: Eastern North Carolina Medical Group, Pllc
Eastern North Carolina Medical Group, Pllc is an health care organization with primary practice located at 1812 Glendale Dr Sw Suite B, Wilson NC 27893-4676. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Eastern North Carolina Medical Group, Pllc can be contacted via phone (252) 291-3100, or through Bailey, Denise H via phone (252) 451-2700.
Contact Information
Primary practice address
1812 Glendale Dr Sw Suite B
Wilson NC 27893-4676
Phone: (252) 291-3100
Fax: (252) 243-0599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ||
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1225367253 |
|---|---|
| LBN Legal business name | Eastern North Carolina Medical Group, Pllc |
| DBA Doing business as | |
| Authorized official | Bailey, Denise H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 22nd, 2009 |
| Last updated | Apr 4th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225367253 | NPPES |
| North Carolina | MEDICAID | 89011C5 | |
| North Carolina | Other | 011C5 |
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