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BOLIVIA MEDICAL CENTER
NPI 1992764211
Family Medicine in Bolivia, NC

Active since March 23, 2006
3875 BUSINESS HWY 17 E, BOLIVIA, NC 28422(910) 253-7990(910) 253-7990 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bolivia Medical Center NPPES

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

BOLIVIA MEDICAL CENTER (NPI 1992764211) is a healthcare organization registered as a family medicine in Bolivia, North Carolina and active in the NPI registry since March 2006. The organization lists Bernard Leroy Langston, President, as its authorized official.

NPPES Registry Identity

NPI1992764211
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHALLOTTE MEDICAL CENTER INC
Location Address3875 BUSINESS HWY 17 EBolivia, NC 28422
Mailing AddressPo Box 409, Bolivia Medical CenterBolivia, NC 28422 · (910) 253-7990 · Fax (910) 253-8028
Phone(910) 253-7990
Fax(910) 253-7990
Organization SubpartNo
Authorized OfficialBernard Leroy LangstonPresident · (910) 754-8731
Enumeration DateMarch 23, 2006
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1992764211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3875 BUSINESS HWY 17 E, Bolivia, NC 28422
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Other Names 1

Doing Business AsBolivia Medical Center

Other Identifiers 3

Medicare OSCAR/certification343928NC
Medicaid343928ANC
Medicare PIN2580353BNC

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shallotte Medical Center Inc's NPI number?

The NPI number for Shallotte Medical Center Inc is 1992764211. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is doing business as Bolivia Medical Center.

Where is Shallotte Medical Center Inc located?

Shallotte Medical Center Inc is located at 3875 Business Hwy 17 E, Bolivia, NC 28422. The listed phone number is (910) 253-7990.

What is Shallotte Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shallotte Medical Center Inc was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.