# HATTERAS VILLAGE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407282171
- **Authorized official:** CHERYL L. BALLANCE (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (252) 928-1511

## Contact information

- **Practice address:** 57635 HWY 12, HATTERAS, NC 27943-0400
- **Practice address phone:** (252) 928-1511
- **Practice address fax:** (252) 928-7391
- **Mailing address:** PO BOX 400, HATTERAS, NC 27943-0400
- **Mailing address phone:** (252) 928-1511
- **Mailing address fax:** (252) 928-7391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 03/11/2014