Greenville Health Care Center, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREENVILLE HEALTH CARE CENTER, P.A.

Doing business as

Bethel Health Care Center

Practice address

7439 Main St
Bethel, NC 27812-7201

Phone

(252) 758-4455

Fax

(252) 758-6742

NPI assigned

Sep 26, 2012

Last updated

Dec 20, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

GREENVILLE HEALTH CARE CENTER, P.A.As reported in NPPES

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

Authorized official

Name

Mr. Clifton Lee Quinn Jr., PA-CNPI 1700863073

Title

President

Phone

(252) 758-4455

Specialties & licenses 1

Addresses

Other names 1

• Bethel Health Care Center Doing business as

Part of

Greenville Health Care

Locations

Practitioners 1

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.

• Clifton Lee Quinn Jr., PA-C

  • Medical Physician Assistant
  • Greenville, NC
  • NPI 1700863073
  Authorized official Same address or phone

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1275884652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 MAIN ST",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278127201",
            "telephone_number": "252-758-4455",
            "fax_number": "252-758-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7439 MAIN ST",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278127201",
            "telephone_number": "252-758-4455",
            "fax_number": "252-758-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE HEALTH CARE CENTER, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENVILLE HEALTH CARE CENTER, P.A.",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-758-4455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Bethel, NC
• Providers in Bethel, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.