Organization
HEATHEAST OUTER BANKS MEDICAL CENTER LLC
Active
Other names
Healtheast Family Care-Hatteras
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN T. LANIER (VP OF FINANCE FOR EAST CAROLINA HEA)
(252) 847-7479
Entity
Organization
Contact information
Practice address
57635 HWY 12, HATTERAS, NC 27943
(252) 986-2756
Mailing address
57635 HWY 12, HATTERAS, NC 27943
(252) 986-2756
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0290U
BCBS #
NC
05
—
790155C
—
NC
Enumeration date
04/05/2006
Last updated
07/21/2022
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