Active NPI
Physician's Prime Care Centre
- Urgent Care Clinic/Center
- Kinston, NC
National Provider Identifier
1891980959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 9400542
- Legal business name
- PHYSICIAN'S PRIME CARE CENTRE
- Practice address
- 2908 N Herritage St
Kinston, NC 28501-1580 - Phone
- (252) 523-3111
- NPI assigned
- Sep 12, 2007
- Last updated
- Jul 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ian Kim, MD
- Title
- Owner
- Phone
- (252) 523-3111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 9400542 | NC | Primary |
Addresses
Primary practice location
2908 N Herritage St
Kinston, NC 28501-1580
Mailing address
PO Box 1441
Kinston, NC 28503-1441
Phone (252) 523-3111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906469 | Medicaid | NC | |
| 013G5 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
3535 S Memorial Dr
Greenville, NC 27834
Phone (252) 353-3111
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- New Bern, NC
- NPI 1013963222
-
- Family Medicine Physician
- Goldsboro, NC
- NPI 1407908148
-
- Physician Assistant
- Goldsboro, NC
- NPI 1821126871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247097600000",
"number": "1891980959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1441",
"city": "KINSTON",
"state": "NC",
"postal_code": "285031441",
"telephone_number": "252-523-3111",
"fax_number": "252-523-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 N HERRITAGE ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011580",
"telephone_number": "252-523-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN'S PRIME CARE CENTRE",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-12",
"last_updated": "2009-07-09",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-523-3111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NC",
"license": "9400542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906469",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "013G5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.