Tarboro Clinic

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

35236 Issued in NC

Legal business name

TARBORO CLINIC

Practice address

101 Clinic Dr
Tarboro, NC 27886-1935

Phone

(252) 823-2105

NPI assigned

Dec 31, 2009

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 625-2990

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

• Gilbert Alligood, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Middlesex, NC
  • NPI 1588644157
  NPD

Part of

Tri - State Medical Group Inc

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2016.

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1760712426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 SCRANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLINIC DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861935",
            "telephone_number": "252-823-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2009-12-31",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "35236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarboro Care LLC
• Tarboro Care LLC
• Tarboro Chemists, Inc.
• Tarboro Chemists, Inc.
• Tarboro Chiropractic Inc.
• Tarboro Clinic Optical
• Tarboro Clinic PA
• Tarboro Endoscopy Center, LLC
• Tarboro Eye Associates OD PLLC
• Tarboro Eye Associates Optometry PLLC

• All providers in Tarboro, NC
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.