NORTH RIVER PRIMECARE PC - NPI 1356695613 - Nurse Practitioner in Beaufort, NC

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

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About North River Primecare Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH RIVER PRIMECARE PC (NPI 1356695613) is a healthcare organization registered as an adult health in Beaufort, North Carolina and active in the NPI registry since November 2012. The organization lists Sarah Jane Randell, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1356695613

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameNORTH RIVER PRIMECARE PC

Location Address301 JONES AVEBeaufort, NC 28516-1514

Mailing Address301 Jones AveBeaufort, NC 28516-1514 · (252) 728-3252 · Fax (252) 728-3251

Phone(252) 728-3252

Fax(252) 728-3251

Organization SubpartNo

Authorized OfficialSarah Jane RandellBilling Manager · (252) 728-3252

Enumeration DateNovember 7, 2012

Last NPPES UpdateDecember 19, 2012

✔ NPI 1356695613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NC · 900119

301 JONES AVE, Beaufort, NC 28516

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Other Identifiers 4

Medicaid7005549NC

Medicaid5907341NC

Medicaid7004406NC

Medicare PINNC3116ANC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH RIVER PRIMECARE PC

Nurse Practitioner (Adult Health)