Holden Beach Medical Center, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

103587 Issued in NC

Legal business name

HOLDEN BEACH MEDICAL CENTER, PA

Practice address

2930 Holden Beach Rd SW
Supply, NC 28462-5702

Phone

(910) 842-5991

Fax

(910) 842-5994

NPI assigned

Jun 5, 2009

Last updated

Jun 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Heather Merrow, PA-CNPI 1508834045

Title

Owner

Phone

(910) 842-5991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Merrow, PAC

  • Physician Assistant
  • Supply, NC
  • NPI 1508834045
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1053547976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 HOLDEN BEACH RD SW",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284625702",
            "telephone_number": "910-842-5991",
            "fax_number": "910-842-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HOLDEN BEACH RD SW",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284625702",
            "telephone_number": "910-842-5991",
            "fax_number": "910-842-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDEN BEACH MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "MERROW",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-842-5991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "103587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Sautters Harrison, FNP
• Robert E Hassler, MD
• Tina Maria Hatch, OTA/L
• Olivia Leigh Hintz, LCSWA
• Holden Beach Medical Center PA
• Marion E Holden, LMBT
• Frank Loving Holt Jr., MD
• Michayla Lee Hosmer
• Elizabeth Rose Hyatt, LCSW
• Independent Nephrology Services, Inc. (INS - Brunswick County)

• Primary Care Clinic/Center in Supply, NC
• Providers in Supply, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.