NPIMap

Organization Active NPI

Eastern Carolina Family Practice

  • Rural Health Clinic/Center
  • Powellsville, NC
National Provider Identifier
1710185574
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
36700 Issued in NC
Legal business name
EASTERN CAROLINA FAMILY PRACTICE
Practice address
105 Commerce Street
Powellsville, NC 27967
Phone
(252) 332-6484
Fax
(252) 332-1660
NPI assigned
Jul 3, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Lindsey L White, MD
Title
Owner
Phone
(252) 331-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 36700 NC Primary

Addresses

Primary practice location

105 Commerce Street
Powellsville, NC 27967

Mailing address

105 Commerce Street
PO Box 40
Powellsville, NC 27967
Phone (252) 332-6484

Other names 1

  • Eastern Carolina Family Practice Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Eastern Carolina Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1710185574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COMMERCE STREET",
            "address_2": "PO BOX 40",
            "city": "POWELLSVILLE",
            "state": "NC",
            "postal_code": "27967",
            "telephone_number": "252-332-6484",
            "fax_number": "252-332-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COMMERCE STREET",
            "city": "POWELLSVILLE",
            "state": "NC",
            "postal_code": "27967",
            "telephone_number": "252-332-6484",
            "fax_number": "252-332-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-331-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "36700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Carolina Family Practice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Powellsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.