Provider Demographics
NPI:1477531473
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:SENIOR DIRECTOR, FISCAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-499-6000
Mailing Address - Street 1:440 HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:SEA LEVEL
Mailing Address - State:NC
Mailing Address - Zip Code:28577
Mailing Address - Country:US
Mailing Address - Phone:252-225-4921
Mailing Address - Fax:
Practice Address - Street 1:440 HWY 70
Practice Address - Street 2:
Practice Address - City:SEA LEVEL
Practice Address - State:NC
Practice Address - Zip Code:28577
Practice Address - Country:US
Practice Address - Phone:252-225-4921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05487333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0165365Medicaid
NC3410862OtherOTHER THIRD PARTIES