Provider Demographics
NPI:1184137879
Name:OCRACOKE HEALTH CENTER, INC.
Entity type:Organization
Organization Name:OCRACOKE HEALTH CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-925-0058
Mailing Address - Street 1:PO BOX 543
Mailing Address - Street 2:
Mailing Address - City:OCRACOKE
Mailing Address - State:NC
Mailing Address - Zip Code:27960-0543
Mailing Address - Country:US
Mailing Address - Phone:252-928-1511
Mailing Address - Fax:252-928-7391
Practice Address - Street 1:33270 US HWY 264
Practice Address - Street 2:
Practice Address - City:ENGELHARD
Practice Address - State:NC
Practice Address - Zip Code:27824
Practice Address - Country:US
Practice Address - Phone:252-925-7000
Practice Address - Fax:252-925-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy