HOLDEN BEACH MEDICAL CENTER PA NPI 1053547976

NPI Information

NPI: 1053547976
Provider Name: HOLDEN BEACH MEDICAL CENTER, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D0994609

Address:
2930 HOLDEN BEACH RD SW
SUPPLY, NC
ZIP 28462
Phone: (910) 842-5991
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HOLDEN BEACH MEDICAL CENTER, PA is a primary care clinic center in Supply, NC. HOLDEN BEACH MEDICAL CENTER, PA NPI is 1053547976. The provider is registered as an organization entity type.

The provider's business location address is:

2930 HOLDEN BEACH RD SW
SUPPLY, NC
ZIP 28462-702
Phone: (910) 842-5991
Fax: (910) 842-5994

The provider's authorized official is Heather Merrow .
The authorized official title is Owner and has the following contact phone number (910) 842-5991.

The CLIA number assigned to this NPI record is 34D0994609 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/5/2009 and was last updated on 6/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	103587	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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