Healtheast Outer Banks Medical Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALTHEAST OUTER BANKS MEDICAL CENTER LLC

Practice address

40894 Hwy 12
Avon, NC 27915

Phone

(252) 995-3073

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn T. Lanier

Title

VP of Finance for East Carolina Hea

Phone

(252) 847-7479

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Healtheast Family Care-Avon Doing business as

Practitioners 1

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

• Thomas Bentley Crabtree, Jr., M.D.

  • Family Medicine Physician
  • Avon, NC
  • NPI 1871563817
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1174585012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40894 HWY 12",
            "city": "AVON",
            "state": "NC",
            "postal_code": "27915",
            "telephone_number": "252-995-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40894 HWY 12",
            "city": "AVON",
            "state": "NC",
            "postal_code": "27915",
            "telephone_number": "252-995-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHEAST OUTER BANKS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP OF FINANCE FOR EAST CAROLINA HEA",
        "authorized_official_telephone_number": "252-847-7479",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0290R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790290R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healtheast Family Care-Avon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beach RX, Inc.
• Thomas Bentley Crabtree, Jr., M.D.
• Amberly Dawn Dyer, LCSW
• Education and Energy Coaching With Horses and Others
• Jamie L Fountain, M.D.
• Francis Manno, DPHIL, PHD
• Lonnie Timothy Morgan, RPH
• Nakedhealth.Ai
• Nakedhealth.Ai LLP
• Jennifer Thor O'Connell, M.A.

• Clinic/Center in Avon, NC
• Providers in Avon, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.