MEDICARE: CAROLINAEAST MEDICAL CENTER

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	3416L0300X	Land Ambulance	H0201	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	00133	OTHER	NC	NC BLUE CROSS AMBULANCE

General Provider Information

NPI Number	:	1588622344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINAEAST MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2000 NEUSE BLVD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28560-3449
Country	:	US
Telephone Number	:	252-633-8640
Fax Number	:	252-636-5376

Provider Business Practice Location Address
First Line	:	2110 NEUSE BLVD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28560-4310
Country	:	US
Telephone Number	:	252-633-8640
Fax Number	:	252-636-5376

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	TAMMY MARIE SHERRON
Credential	:
Telephone Number	:	252-633-8880

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/13/2022

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Directions to “CAROLINAEAST MEDICAL CENTER ” Practice Location

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