Provider Demographics
NPI:1770734717
Name:FIRSTHEALTH OF THE CAROLINAS, INC
Entity type:Organization
Organization Name:FIRSTHEALTH OF THE CAROLINAS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:G
Authorized Official - Last Name:VOELPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-715-1434
Mailing Address - Street 1:921 S LONG DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-4874
Mailing Address - Country:US
Mailing Address - Phone:910-417-3540
Mailing Address - Fax:910-417-3542
Practice Address - Street 1:921 S LONG DR
Practice Address - Street 2:SUITE 208
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4874
Practice Address - Country:US
Practice Address - Phone:910-417-3540
Practice Address - Fax:910-417-3542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNPB321Medicaid
NCTIN # SUFFIX 042OtherCHAMPUS
NCTIN#-SUFFIX FOtherFIRST CAROLINA CARE
NC021EXOtherBCBS
NC3008988OtherUHC
NC5950758Medicaid
NC3008988OtherUHC
NCTIN#-SUFFIX FOtherFIRST CAROLINA CARE