Organization
OCRACOKE HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L BALLANCE (ADMINISTRATOR)
(252) 928-1511
Entity
Organization
Contact information
Practice address
305 BACK ROAD, OCRACOKE, NC 27960-0543
(252) 928-1511
(252) 928-7391
Mailing address
PO BOX 543, 305 BACK ROAD, OCRACOKE, NC 27960-0543
(252) 928-1511
(252) 928-7391
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689726101
—
NC
01
—
341014
MEDICARE FQHC
NC
Enumeration date
01/17/2007
Last updated
11/17/2022
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