Sandy Shores Primary Care, Pllc

LBN: Sandy Shores Primary Care, Pllc
Sandy Shores Primary Care, Pllc is an health care organization with primary practice located at 13741 Nc Highway 50 Ste A , Surf City NC 28445-6935. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Sandy Shores Primary Care, Pllc can be contacted via phone (910) 777-2732, or through Cooper, Rebecca L via phone (910) 789-9883.

Contact Information

Primary practice address
13741 Nc Highway 50 Ste A Surf City NC 28445-6935
Phone: (910) 777-2732
Fax: (910) 777-2742
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Rebecca L PAC
Phone: (910) 789-9883

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1508511767
LBN Legal business name Sandy Shores Primary Care, Pllc
DBA Doing business as
Authorized official Cooper, Rebecca L PAC
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 16th, 2022
Last updated Feb 16th, 2022 - about 2 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 1508511767 NPPES
North Carolina MEDICAID 1104159540

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