Organization Active NPI

Eastern Carolina Wellness Group

  • Community/Behavioral Health Agency
  • New Bern, NC
National Provider Identifier
1821235946
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTERN CAROLINA WELLNESS GROUP
Practice address
1017A Broad St
New Bern, NC 28560-5509
Phone
(252) 670-8209
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Mrs. Michelle Dove Dove
Title
Owner
Phone
(252) 670-8209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1017A Broad St
New Bern, NC 28560-5509

Mailing address

1017A Broad St
New Bern, NC 28560-5509
Phone (252) 670-8209

National Provider Directory

National Provider Directory

Locations

1017A Broad St
New Bern, NC 28560
Phone (252) 670-8209

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1821235946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017A BROAD ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285605509",
            "telephone_number": "252-670-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017A BROAD ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285605509",
            "telephone_number": "252-670-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DOVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-670-8209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.