Provider Demographics
NPI:1760479331
Name:CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Other - Org Name:CARTERET GENERAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FISCAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:252-808-6104
Mailing Address - Street 1:3500 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2901
Mailing Address - Country:US
Mailing Address - Phone:252-808-6000
Mailing Address - Fax:252-808-6943
Practice Address - Street 1:3500 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2901
Practice Address - Country:US
Practice Address - Phone:252-808-6000
Practice Address - Fax:252-808-6943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0222282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400142Medicaid
NC00089OtherBLUE CROSS PROVIDER NUMBER
NC0275JOtherBLUE SHIELD PROVIDER NUMB
NC07640OtherBLUE SHIELD PROVIDER NUMB
NC=========001OtherTRICARE PROVIDER NUMBER
NC3400142Medicaid
NC0275JOtherBLUE SHIELD PROVIDER NUMB
NC07640OtherBLUE SHIELD PROVIDER NUMB
NC235024FMedicare ID - Type UnspecifiedMEDICARE B PROVIDER NUMB