Provider Demographics
NPI:1184951840
Name:CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Entity type:Organization
Organization Name:CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM VICE PRESIDENT FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:252-808-6136
Mailing Address - Street 1:P.O. DRAWER 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:252-808-6136
Mailing Address - Fax:252-808-6941
Practice Address - Street 1:3722 BRIDGES ST
Practice Address - Street 2:SUITE A
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2944
Practice Address - Country:US
Practice Address - Phone:252-808-6136
Practice Address - Fax:252-808-6941
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-17
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07640OtherBLUE SHIELD PROVIDER NUMBER
NC3400142Medicaid
NC00089OtherBLUE CROSS PROVIDER NUMBER
NC230524AOtherMEDICARE ID MEDICARE B PROVIDER NUMBER
NC3400142Medicaid