Excellent Spirit Enterprise, Inc.
Organization Active NPI Rural Health Clinic/Center · Sharpsburg, NC
NPI 1760715486 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1760715486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 200000114 (NC)
- Legal business name
- EXCELLENT SPIRIT ENTERPRISE, INC.
- Practice address
- 9201 County Line Road
Sharpsburg, NC 27878-9998 - Phone
- (252) 446-4455
- Fax
- (704) 625-0372
- NPI assigned
- Sep 14, 2009
- Organization subpart
- No
Authorized official
- Name
- John Robert Pickett Sr., D.O.
- Title
- Founder/Ceo
- Phone
- (252) 446-4455
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 200000114 | NC | Yes |
Addresses
Primary practice location
9201 County Line Road
Sharpsburg, NC 27878-9998
Mailing address
PO Box 98
Sharpsburg, NC 27878-0098
Phone (252) 446-4455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344644C | Medicaid | NC | |
| 344644A | Medicaid | NC |
Other names
- Medical Clinic of Sharpsburg
Other providers in Sharpsburg, NC
- Tony Barnes
- Comprehensive Community Care, Inc.
- Dva Renal Healthcare, Inc.
- Excellent Spirit Enterprise, Inc.
- Kendria Trinette Mitchell
- New Directions of Sharpsburg, Inc
- John Robert Pickett
All providers in Sharpsburg, NC · Rural Health Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.