Provider Demographics
NPI:1366401648
Name:NHC CHERRY POINT
Entity type:Organization
Organization Name:NHC CHERRY POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UBO MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-466-0134
Mailing Address - Street 1:PSC BOX 8023
Mailing Address - Street 2:NAVAL HEALTH CLINIC CODE 41C
Mailing Address - City:CHERRY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28533-0023
Mailing Address - Country:US
Mailing Address - Phone:252-466-0160
Mailing Address - Fax:252-466-0379
Practice Address - Street 1:BEAUFORT RD BLDG 4389
Practice Address - Street 2:NAVAL HEALTH CLINIC CHERRY POINT
Practice Address - City:CHERRY POINT
Practice Address - State:NC
Practice Address - Zip Code:28533-0023
Practice Address - Country:US
Practice Address - Phone:252-466-0160
Practice Address - Fax:252-466-0379
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NHC CHERRY POINT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-23
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
3429481OtherNCPDP
NC1215036546OtherCHERRY POINT PHARMACY