HEALTHEAST FAMILY CARE-AVON – NPI #1174585012
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

HEALTHEAST FAMILY CARE-AVON is an AHC clinic located in AVON, NC. NPPES has assigned the NPI number 1174585012 to HEALTHEAST FAMILY CARE-AVON on April 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEALTHEAST FAMILY CARE-AVON” is a dba name, the actual legal business name for this organization is HEALTHEAST OUTER BANKS MEDICAL CENTER LLC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 18 years ago on Jun 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEALTHEAST FAMILY CARE-AVON below.

NPI Profile for
HEALTHEAST OUTER BANKS MEDICAL CENTER LLC

NPI Number
1174585012
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEALTHEAST OUTER BANKS MEDICAL CENTER LLC
Doing Business As (dba): HEALTHEAST FAMILY CARE-AVON
Primary location
40894 HWY 12
AVON, NC 27915
Phone: (252) 995-3073 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LYNN LANIER
VP OF FINANCE FOR EAST CAROLINA HEA
Phone: (252) 847-7479
Updated
Identifiers

Identifiers for HEALTHEAST FAMILY CARE-AVON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS PROVIDER #NC0290R
MEDICAIDNC790290R
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.