NPIMap

Organization Active NPI

Ocracoke Health Center, Inc.

Doing business as Engelhard Medical Center

  • Federally Qualified Health Center (FQHC)
  • Engelhard, NC
National Provider Identifier
1063472116
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OCRACOKE HEALTH CENTER, INC.
Doing business as
Engelhard Medical Center
Practice address
33270 US 264
Engelhard, NC 27824-0277
Phone
(252) 925-7000
Fax
(252) 925-7700
NPI assigned
Mar 24, 2006
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Jamie Carter
Title
Revenue Cycle Manager
Phone
(252) 925-0058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

33270 US 264
Engelhard, NC 27824-0277

Mailing address

PO Box 277
Engelhard, NC 27824-0277
Phone (252) 925-7000

Other identifiers 3

IdentifierTypeStateIssuer
5913132MedicaidNC
017N7OtherNCBCBS NC
56162OtherNCMEDCOST

Other names 1

  • ENGELHARD MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230515002314 NC Part A Provider - Federally Qualified Health Center (FQHC) 8224221973 Practice locations: Engelhard, NC
O20250103000802 NC Part B Supplier - Clinic/Group Practice 8224221973 Receives reassigned benefits from 3 practitioners
Practice locations: Engelhard, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063472116. Details of each certification follow.

Federally qualified health center certification: CCN 341011

Legal name
OCRACOKE HEALTH CENTER INC
Doing business as
OKRACOKE HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 23, 2014
Last certification
Apr 23, 2014
Ownership / control type
For profit – corporation
Most recent change of ownership
Aug 15, 2016 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 2016 in NC
Enrollment address
33270 US Highway 264
Engelhard, NC 27824-9557

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ocracoke Health Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27056/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jamie T Carter Individual Corporate DirectorDirector of Finance and Rev Mana Jan 1, 2023 100%
Operational/Managerial ControlDirector of Finance and Rev Mana Jan 1, 2023 100%
Joseph Rockenstein Individual W-2 Managing EmployeeCeo Jul 1, 2021 100%
Operational/Managerial ControlCeo Jul 1, 2021 100%
Ocracoke Health Center Inc Organization, Ocracoke, NC Corporation Operational/Managerial Control Aug 15, 2016 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manteo Community Health CenterManteo, NC, CCN B61011 Federally qualified health center Operational/Managerial Control (100%) Jul 10, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 2

DateEventCounterparty
Aug 15, 2016 Change of OwnershipThis provider was the buyer Engelhard Medical CenterCCN 341011, NC, NPI 1063472116
Aug 15, 2016 Change of OwnershipThis provider was the seller Okracoke Health CenterCCN 341011, NC, NPI 1063472116

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1063472116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "ENGELHARD",
            "state": "NC",
            "postal_code": "278240277",
            "telephone_number": "252-925-7000",
            "fax_number": "252-925-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33270 US 264",
            "city": "ENGELHARD",
            "state": "NC",
            "postal_code": "278240277",
            "telephone_number": "252-925-7000",
            "fax_number": "252-925-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCRACOKE HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "252-925-0058"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913132",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "017N7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "56162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENGELHARD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENGELHARD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Engelhard, NC

Sources for this page

Verify at the official NPI Registry.