| Carolinaeast Medical Center | |
|
620 Farm Life Ave Vanceboro NC 28586-7673 | |
| (252) 244-1785 | |
| Not Available |
| Full Name | Carolinaeast Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 620 Farm Life Ave, Vanceboro, North Carolina |
| Authorized Official Name and Position | Tammy M Sherron (CFO/ VP FINANCE) |
| Authorized Official Contact | 2526338880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinaeast Medical Center Po Box 529 Vanceboro NC 28586-0529 Ph: (252) 244-1785 | Carolinaeast Medical Center 620 Farm Life Ave Vanceboro NC 28586-7673 Ph: (252) 244-1785 |
| NPI Number | 1164476834 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164476834 | NPI | - | NPPES |
| 0254H | Other | NC | NCBCBS |
| 890254H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | H0201 (North Carolina) | Primary |
Vanceboro Internal Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 260 Nc Highway 43, Vanceboro, NC 28586 Phone: 252-244-4700 Fax: 252-244-4702 |