Healthcare Provider Details

I. General information

NPI: 1184137879
Provider Name (Legal Business Name): OCRACOKE HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33270 US HWY 264
ENGELHARD NC
27824
US

IV. Provider business mailing address

PO BOX 543
OCRACOKE NC
27960-0543
US

V. Phone/Fax

Practice location:
  • Phone: 252-925-7000
  • Fax: 252-925-7700
Mailing address:
  • Phone: 252-928-1511
  • Fax: 252-928-7391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMIE T CARTER
Title or Position: BILLING MANAGER
Credential:
Phone: 252-925-0058