Healthcare Provider Details

I. General information

NPI: 1700156494
Provider Name (Legal Business Name): CAROLINAEAST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 12/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NEUSE BLVD
NEW BERN NC
28560-3449
US

IV. Provider business mailing address

2000 NEUSE BLVD
NEW BERN NC
28560-3449
US

V. Phone/Fax

Practice location:
  • Phone: 252-633-8746
  • Fax: 252-633-8769
Mailing address:
  • Phone: 252-633-8746
  • Fax: 252-633-8769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number11171
License Number StateNC

VIII. Authorized Official

Name: G. RAYMOND LEGGETT
Title or Position: PRESIDENT/CEO
Credential:
Phone: 252-633-8111