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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Preferred Provider Organization · EAST BEND, NC

Registration Details

NPI Number
1740586908
Provider Type
Organization
NPI Issued
Feb 7, 2011 (15.203101447945 yrs)
Last Updated
Feb 7, 2011
Licenses
600736547 (NC)
600736547 (NC)
600736547 (NC)
600736547 (NC)
600736547 (NC)

Practice Information

Address
312 FAIRGROUND RD
EAST BEND, NC, 270187898
Browse NC providers · Browse ZIP 27018
Phone
3364736145
Fax
3366996008
Primary Specialty
Preferred Provider Organization
305R00000X
Additional Specialty
Case Management Agency
Additional Specialty
Custodial Care Facility
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.