Provider Demographics
NPI:1619943800
Name:CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Other - Org Name:CARTERET HOME HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-808-6081
Mailing Address - Street 1:PO BOX 1619
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-1619
Mailing Address - Country:US
Mailing Address - Phone:252-808-6081
Mailing Address - Fax:252-808-6573
Practice Address - Street 1:3722 BRIDGES ST STE 201
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2944
Practice Address - Country:US
Practice Address - Phone:252-808-6081
Practice Address - Fax:252-808-6573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC044251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC00072ZOtherBCBS OF NC
NC3407042Medicaid
NC347042Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER