Provider Demographics
NPI:1215629886
Name:OCRACOKE HEALTH CENTER, INC.
Entity type:Organization
Organization Name:OCRACOKE HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-925-0058
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:ENGELHARD
Mailing Address - State:NC
Mailing Address - Zip Code:27824-0277
Mailing Address - Country:US
Mailing Address - Phone:252-925-7000
Mailing Address - Fax:252-925-7700
Practice Address - Street 1:402 BUDLEIGH STREET
Practice Address - Street 2:
Practice Address - City:MANTEO
Practice Address - State:NC
Practice Address - Zip Code:27954
Practice Address - Country:US
Practice Address - Phone:252-925-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCRACOKE HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)