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EASTERN MEDICAL ASSOCIATES NPI 1861728792


NPI Information

NPI: 1861728792
Provider Name: EASTERN MEDICAL ASSOCIATES
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 34D0915107

Address:
2609 MEDICAL OFFICE PL
GOLDSBORO, NC
ZIP 27534
Phone: (919) 734-1779
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EASTERN MEDICAL ASSOCIATES is a non pharmacy dispensing site in Goldsboro, NC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) EASTERN MEDICAL ASSOCIATES NPI is 1861728792. The provider is registered as an organization entity type.

The provider's business location address is:

2609 MEDICAL OFFICE PL
GOLDSBORO, NC
ZIP 27534-428
Phone: (919) 734-1779

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 625-2990.

The CLIA number assigned to this NPI record is 34D0915107 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2009 and was last updated on 12/30/2013.


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
1332900000XNon-Pharmacy Dispensing Site9300226NORTH CAROLINAYes

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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