NPIMap

Med First Immediate Care & Family Practice, PA

Organization Active NPI Family Medicine Physician · New Bern, NC

NPI 1093229783 · NPPES record last updated Jan 21, 2020

Key facts

NPI
1093229783
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Practice address
2020 Waterscape Way
New Bern, NC 28562-9831
Phone
(252) 631-5301
Fax
(252) 631-5305
NPI assigned
Nov 17, 2017
Organization subpart
Yes
Parent organization (as reported)
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA

Authorized official

Name
Paul Feneck
Title
Ceo
Phone
(919) 341-4016

Corporate family (same tax ID) 43

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

View all 43

Practitioners 8

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2140256Med First Immediate Care &
2020 Waterscape Way, New Bern, NC 28562		Certificate of waiverNov 16, 2027

National Provider Directory

Tax ID family
Med First Immediate Care Family Practice PA (44 organizations share this tax ID)
Part of
Med First Immediate Care Family Practice PA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

2020 Waterscape Way
New Bern, NC 28562-9831

Mailing address

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (919) 341-4016

Other providers in New Bern, NC

All providers in New Bern, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.