| Engelhard Medical Center | |
|
33270 Us 264 Engelhard NC 27824-0277 | |
| (252) 925-7000 | |
| (252) 925-7700 |
| Full Name | Engelhard Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 33270 Us 264, Engelhard, North Carolina |
| Authorized Official Name and Position | Jamie Carter (BILLING MANAGER) |
| Authorized Official Contact | 2529250058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Engelhard Medical Center Po Box 277 Engelhard NC 27824-0277 Ph: (252) 925-7000 | Engelhard Medical Center 33270 Us 264 Engelhard NC 27824-0277 Ph: (252) 925-7000 |
| NPI Number | 1063472116 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 12/29/2023 |
| Medicare PECOS PAC ID | 8921036088 |
|---|---|
| Medicare Enrollment ID | O20050729000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063472116 | NPI | - | NPPES |
| 017N7 | Other | NC | BCBS NC |
| 56162 | Other | NC | MEDCOST |
| 5913132 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Shannon M Sawin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154331817 PECOS PAC ID: 1355327453 Enrollment ID: I20040629000353 |
| Provider Name | Erin Brie Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134333636 PECOS PAC ID: 3476717109 Enrollment ID: I20120611000050 |
| Provider Name | Jennifer N Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265929681 PECOS PAC ID: 8224431564 Enrollment ID: I20210726000407 |