NPIMap

Organization Active NPI

Carolinaeast Medical Center

  • Case Management Agency
  • New Bern, NC
National Provider Identifier
1538114244
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
HC0165 Issued in NC
Legal business name
CAROLINAEAST MEDICAL CENTER
Practice address
1300 Helen Ave
New Bern, NC 28560-3418
Phone
(252) 633-8185
NPI assigned
May 23, 2006
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Tammy Marie Sherron
Title
Cfo
Phone
(252) 633-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X HC0165 NC Primary

Addresses

Primary practice location

1300 Helen Ave
New Bern, NC 28560-3418

Mailing address

1300 Helen Ave
New Bern, NC 28560-3418
Phone (252) 633-8185

Other identifiers 1

IdentifierTypeStateIssuer
3408055MedicaidNC

Other names 1

  • Home Care Craven Regional Medical Authority Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Craven Regional Medical11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1300 Helen Ave
New Bern, NC 28560
Phone (252) 633-8182

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1538114244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HELEN AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603418",
            "telephone_number": "252-633-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HELEN AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603418",
            "telephone_number": "252-633-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAEAST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "SHERRON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-633-8880"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "HC0165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408055",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Craven Regional Medical Authority",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Home Care Craven Regional Medical Authority",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.