CCHC NEW BERN FAMILY PRACTICE AND CCHC URGENT CARE – NPI #1366498297
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CCHC NEW BERN FAMILY PRACTICE AND CCHC URGENT CARE is a provider located in NEW BERN, NC. NPPES has assigned the NPI number 1366498297 to CCHC NEW BERN FAMILY PRACTICE AND CCHC URGENT CARE on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CCHC NEW BERN FAMILY PRACTICE AND CCHC URGENT CARE” is a dba name, the actual legal business name for this organization is COASTAL CAROLINA HEALTH CARE PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 01, 2024. 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 CCHC NEW BERN FAMILY PRACTICE AND CCHC URGENT CARE below.

NPI Profile for
COASTAL CAROLINA HEALTH CARE PA

NPI Number
1366498297
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
COASTAL CAROLINA HEALTH CARE PA
Doing Business As (dba): CCHC NEW BERN FAMILY PRACTICE AND CCHC URGENT CARE
Primary location
1040 MEDICAL PARK AVE
NEW BERN, NC 28562-5248
Phone: (252) 633-1678 Fax: (252) 633-1403
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN NUCKOLLS
CEO
Phone: (252) 514-6685
Updated
Certification Date
Feb 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CCHC NEW BERN FAMILY PRACTICE AND CCHC URGENT CARE

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 OF NCNC0255H
MEDICAIDNC790255H
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
207Q00000X
- Family Medicine (Primary)
261QU0200X
- Clinic/Center / Urgent Care
261QP2300X
- Clinic/Center / Primary Care

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.