Nova Urgent Care Pamlico PA

Organization Active NPI Urgent Care Clinic/Center · Alliance, NC

NPI 1245267293 · NPPES record last updated Jan 12, 2015

Key facts

NPI
1245267293
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
NOVA URGENT CARE PAMLICO PA
Practice address
13808 Hwy 55
Alliance, NC 28509
Phone
(252) 745-7440
Fax
(252) 672-9897
NPI assigned
Jun 26, 2006
Organization subpart
No

Authorized official

Name
David Donnelly
Title
Manager
Phone
(252) 672-0095

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X NC
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X NC Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X 001000560 NC
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X NC

Addresses

Primary practice location

13808 Hwy 55
Alliance, NC 28509

Mailing address

1813 S Glenburnie Rd
New Bern, NC 28562-5210
Phone (252) 672-0095

Other identifiers

IdentifierTypeStateIssuer
5903188MedicaidNC
2324658OtherNCMEDICARE GROUP ID NUMBER

Other providers in Alliance, NC

All providers in Alliance, NC · Urgent Care Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.