MEDICARE: ROCKY POINT URGENT CARE LLC

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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02743	OTHER	NC	NCBCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265491435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKY POINT URGENT CARE LLC

Provider Business Mailing Address
First Line	:	27 COMMERCE DR
Second Line	:	STE B
City	:	ROCKY POINT
State	:	NC
Zip	:	28457-7871
Country	:	US
Telephone Number	:	910-675-8087
Fax Number	:	910-675-3588

Provider Business Practice Location Address
First Line	:	27 COMMERCE DR
Second Line	:
City	:	ROCKY POINT
State	:	NC
Zip	:	28457-7871
Country	:	US
Telephone Number	:	910-675-8087
Fax Number	:	910-675-8103

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL F ZINICOLA
Credential	:
Telephone Number	:	910-675-8087

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	04/20/2008

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Directions to “ROCKY POINT URGENT CARE LLC ” Practice Location

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