NPIMap

Organization Active NPI

Carteret County General Hospital Corporation

Doing business as Carteret General Hospital

  • General Acute Care Hospital
  • Morehead City, NC
National Provider Identifier
1760479331
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0222 Issued in NC
Legal business name
CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Doing business as
Carteret General Hospital
Practice address
3500 Arendell St
Morehead City, NC 28557-2901
Phone
(252) 808-6000
Fax
(252) 808-6943
NPI assigned
Sep 29, 2005
Last updated
Feb 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Mrs. Joanie King, CPA
Title
VP Fiscal Services
Phone
(252) 808-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0222 NC Primary

Addresses

Primary practice location

3500 Arendell St
Morehead City, NC 28557-2901

Mailing address

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 808-6000

Other identifiers 4

IdentifierTypeStateIssuer
00089OtherNCBLUE CROSS PROVIDER NUMBER
0275JOtherNCBLUE SHIELD PROVIDER NUMB
3400142MedicaidNC
07640OtherNCBLUE SHIELD PROVIDER NUMB

Other names 1

  • CARTERET GENERAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030715000030 NC Part A Provider - Hospital 7517877517 Practice locations: Morehead City, NC
O20040901001048 NC Part B Supplier - Clinic/Group Practice 7517877517 Receives reassigned benefits from 62 practitioners
Practice locations: Morehead City, NC
O20041118000891 NC Part B Supplier - Clinic/Group Practice 7517877517 Receives reassigned benefits from 287 practitioners
1 other NPI on this enrollment
Practice locations: Morehead City, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760479331. Details of each certification follow.

Hospital certification: CCN 340142

Legal name
CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Doing business as
CARTERET HEALTH CARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 30, 1967
Last certification
Jan 8, 2009
Beds
117
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 22, 1970 in NC
Enrollment address
3500 Arendell Street
Morehead City, NC 28557-1619
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Carteret General HospitalCCN 340142 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0018860Carteret Health Care Laboratory3500 Arendell Street, Morehead City, NC 28557AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Locations

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

3601 Bridges St
Morehead City, NC 28557
Phone (252) 247-1390

3601 Bridges St
#C
Morehead City, NC 28557
Phone (252) 247-1373

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Clyde L Brooks Individual Corporate Director Jul 15, 2020
Jeffrey Moore Individual Corporate Director Dec 21, 2015
Stephen Charles Rea Individual Corporate Director Dec 4, 2018
Stephen Sullivan Individual Corporate Director Jan 1, 2021
Jamie Lee Vogel Individual Corporate Director Jan 1, 2021
Stanley David Carr Individual Corporate Director Dec 5, 2016
Patti Carr Hudson Individual Corporate Director Mar 30, 2020
Claud Wheatly Individual Corporate DirectorBoard of Directors Jan 1, 2011
William Mark Shouse Individual Corporate Director Dec 21, 2015
Joanie King Individual Corporate DirectorCfo Jan 1, 2011
W-2 Managing EmployeeCfo Jan 1, 2011
Patrick Paul Joyce Individual Corporate Director Dec 2, 2014
Michael Percy Soucie Individual Corporate Director Aug 3, 2014
Julius Monroe Taylor Individual Corporate Director Dec 5, 2016
Robert William Cavanaugh Individual Corporate Director Dec 4, 2018
Chad Allen Albaugh Individual Corporate Director Jan 1, 2021
Carteret County General Hospital Corporation Organization, Morehead City, NC 5% Or Greater Direct Ownership Interest Jul 30, 1967
Operational/Managerial Control Jul 30, 1967
William Case Individual W-2 Managing Employee Jan 27, 2020
Juozas Antanas Zavadzkas Individual Corporate Director Jan 1, 2020
Brian Kyle Marek Individual Corporate Director Sep 12, 2011

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 350

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.

View all 350

Affiliated clinicians 434

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 434

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1760479331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572901",
            "telephone_number": "252-808-6000",
            "fax_number": "252-808-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572901",
            "telephone_number": "252-808-6000",
            "fax_number": "252-808-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET COUNTY GENERAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_title_or_position": "VP FISCAL SERVICES",
        "authorized_official_telephone_number": "252-808-6104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  PROVIDER NUMBER",
            "identifier": "00089",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "0275J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400142",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "07640",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARTERET GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARTERET GENERAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.