MEDICARE: CARTERET COUNTY GENERAL HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	HOS0613	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000095	OTHER	NC	BCBS OF NC

General Provider Information

NPI Number	:	1396712212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTERET COUNTY GENERAL HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 1619
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-1619
Country	:	US
Telephone Number	:	252-808-6085
Fax Number	:	252-808-6573

Provider Business Practice Location Address
First Line	:	3722 BRIDGES ST STE 201
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2944
Country	:	US
Telephone Number	:	252-808-6085
Fax Number	:	252-808-6573

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. PENNY T CARR
Credential	:
Telephone Number	:	252-808-6085

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	02/19/2021

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