NPIMap

Beachcare Urgent Medical Care Center of Havelock

Organization Active NPI Rural Health Clinic/Center · Havelock, NC

NPI 1083600720 · NPPES record last updated Nov 4, 2010

Key facts

NPI
1083600720
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
39759 (NC)
Legal business name
BEACHCARE URGENT MEDICAL CARE CENTER OF HAVELOCK
Practice address
1224 E Main St
Havelock, NC 28532-2405
Phone
(252) 447-7474
Fax
(252) 447-1050
NPI assigned
Sep 27, 2005
Organization subpart
No

Authorized official

Name
Mr. William Graham Evans Jr., PA-C
Title
Clinical Director/Owner
Phone
(252) 447-7474

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1224 E Main St
Havelock, NC 28532
Phone (252) 447-7474

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 39759 NC Yes

Addresses

Primary practice location

1224 E Main St
Havelock, NC 28532-2405

Mailing address

1224 E Main St
Havelock, NC 28532-2405
Phone (252) 447-7474

Other identifiers

IdentifierTypeStateIssuer
344612AMedicaidNC
0138BOtherNCBLUE CROSS BLUE SHIELD
344612CMedicaidNC

Other names

  • Beachcare of Havelock Doing business as

Other providers in Havelock, NC

All providers in Havelock, NC · Rural Health Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.