Organization Active NPI

Beachcare East Urgent Medical Center PC

  • Primary Care Clinic/Center
  • Morehead City, NC
National Provider Identifier
1679745434
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
39759 Issued in NC
Legal business name
BEACHCARE EAST URGENT MEDICAL CENTER PC
Practice address
5059 Hwy 70 W
Morehead City, NC 28557-4503
Phone
(252) 808-3696
Fax
(252) 808-2022
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Jeffery S Anderson, MD
Title
President
Phone
(252) 808-3696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 39759 NC Primary

Addresses

Primary practice location

5059 Hwy 70 W
Morehead City, NC 28557-4503

Mailing address

106 Professional Park Dr Ste D
Beaufort, NC 28516-2464
Phone (252) 728-2205

National Provider Directory

National Provider Directory

Locations

106 Professional Park Dr
Ste D
Beaufort, NC 28516
Phone (252) 728-5003

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1679745434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PROFESSIONAL PARK DR STE D",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285162464",
            "telephone_number": "252-728-2205",
            "fax_number": "252-728-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 HWY 70 W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574503",
            "telephone_number": "252-808-3696",
            "fax_number": "252-808-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHCARE EAST URGENT MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-808-3696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "39759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.