NPIMap

Med First Immediate Care & Family Practice PA

Organization Active NPI Family Medicine Physician · Swansboro, NC

NPI 1881114007 · NPPES record last updated Jan 21, 2020

Key facts

NPI
1881114007
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Practice address
718 W Corbett Ave
Swansboro, NC 28584-8452
Phone
(910) 326-5588
Fax
(910) 326-6923
NPI assigned
Jun 20, 2017
Organization subpart
Yes
Parent organization (as reported)
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA

Authorized official

Name
Mr. Paul Feneck
Title
Chief Executive Officer
Phone
(919) 341-4016

Corporate family (same tax ID) 43

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

View all 43

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0902857Med First Immediate Care &
718 W Corbett Avenue, Swansboro, NC 28584		Provider-performed microscopyJan 5, 2028

National Provider Directory

Tax ID family
Med First Immediate Care Family Practice PA (44 organizations share this tax ID)
Part of
Med First Immediate Care Family Practice PA

Locations

718 W Corbett Ave
Swansboro, NC 28584
Phone (910) 326-5588

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

718 W Corbett Ave
Swansboro, NC 28584-8452

Mailing address

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (919) 341-4016

Other providers in Swansboro, NC

All providers in Swansboro, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.