| Ocracoke Health Center, Inc. | |
|
305 Back Road Ocracoke NC 27960-0543 | |
| (252) 928-1511 | |
| (252) 928-7391 |
| Full Name | Ocracoke Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 Back Road, Ocracoke, North Carolina |
| Authorized Official Name and Position | Cheryl L Ballance (ADMINISTRATOR) |
| Authorized Official Contact | 2529281511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocracoke Health Center, Inc. Po Box 543 305 Back Road Ocracoke NC 27960-0543 Ph: (252) 928-1511 | Ocracoke Health Center, Inc. 305 Back Road Ocracoke NC 27960-0543 Ph: (252) 928-1511 |
| NPI Number | 1689726101 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 8224221973 |
|---|---|
| Medicare Enrollment ID | O20120611000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689726101 | NPI | - | NPPES |
| 1689726101 | Medicaid | NC | |
| 341014 | Other | NC | MEDICARE FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Erin Brie Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134333636 PECOS PAC ID: 3476717109 Enrollment ID: I20120611000050 |
| Provider Name | Lauren Suzzanne Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356770697 PECOS PAC ID: 8527285394 Enrollment ID: I20140819001531 |
| Provider Name | Jeremy Elliott Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174819825 PECOS PAC ID: 1355588112 Enrollment ID: I20140903001749 |
| Provider Name | Jolene C Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063760577 PECOS PAC ID: 9830454669 Enrollment ID: I20180529002040 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194375584 PECOS PAC ID: 9436584216 Enrollment ID: I20200124002002 |
| Provider Name | Jennifer N Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265929681 PECOS PAC ID: 8224431564 Enrollment ID: I20210726000407 |
| Provider Name | Ginger M Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265286843 PECOS PAC ID: 1951835529 Enrollment ID: I20241106000243 |