| Beachcare Of Havelock | |
|
1224 E Main St Havelock NC 28532-2405 | |
| (252) 447-7474 | |
| (252) 447-1050 |
| Full Name | Beachcare Of Havelock |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1224 E Main St, Havelock, North Carolina |
| Authorized Official Name and Position | William Graham Evans (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 2524477474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachcare Of Havelock 1224 E Main St Havelock NC 28532-2405 Ph: (252) 447-7474 | Beachcare Of Havelock 1224 E Main St Havelock NC 28532-2405 Ph: (252) 447-7474 |
| NPI Number | 1083600720 |
|---|---|
| Provider Enumeration Date | 09/27/2005 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083600720 | NPI | - | NPPES |
| 344612A | Medicaid | NC | |
| 0138B | Other | NC | BLUE CROSS BLUE SHIELD |
| 344612C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 39759 (North Carolina) | Primary |
Eastern Carolina Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Webb Blvd, Havelock, NC 28532 Phone: 252-447-7088 Fax: 252-447-2752 | |
Carolinaeast Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Webb Blvd, Havelock, NC 28532 Phone: 252-447-7088 Fax: 252-447-2752 | |
Cchc Havelock Primary And Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 E Main St, Havelock, NC 28532 Phone: 252-447-7474 |