Provider Demographics
NPI:1265491435
Name:ROCKY POINT URGENT CARE LLC
Entity Type:Organization
Organization Name:ROCKY POINT URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZINICOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-675-8087
Mailing Address - Street 1:27 COMMERCE DR
Mailing Address - Street 2:STE B
Mailing Address - City:ROCKY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28457-7871
Mailing Address - Country:US
Mailing Address - Phone:910-675-8087
Mailing Address - Fax:910-675-3588
Practice Address - Street 1:27 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NC
Practice Address - Zip Code:28457-7871
Practice Address - Country:US
Practice Address - Phone:910-675-8087
Practice Address - Fax:910-675-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC02743OtherNCBCBS
NC8902743Medicaid
NC8902743Medicaid
NC=========OtherTAX
NC=========OtherUHC
NC=========OtherMEDCOST
NC=========OtherCIGNA
NCA60126Medicare UPIN