BECKFORD AVENUE MEDICAL CENTER PA (NPI# 1700049418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700049418 |
| Entity Type | Organization |
| Organization Name | BECKFORD AVENUE MEDICAL CENTER PA |
| Other Organization Name | BECKFORD AVENUE MEDICAL CENTER |
| Practice Address |
176 S Beckford Dr Henderson NC 27536-2584 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 2524922888 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 85896252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 23579 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Beckford Avenue Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013224179 | Beckford Avenue Medical Center Pa | Family Medicine | 6010a Nc Highway 561, Louisburg, NC 27549-8836 | 2010-09-09 |
| 1679571574 | Beckford Avenue Medical Center Pa | Family Medicine | 176 Beckford Dr, Henderson, NC 27536-2589 | 2005-07-13 |
| Street Address |
176 S BECKFORD DR |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477844298 | Warren-vance Community Health Center | Clinic/Center | 176 S Beckford Dr, Henderson, NC 27536-2584 | 2011-04-27 |
| 1649561556 | Warren Vance Community Health Center Inc | Family Medicine | 176 S Beckford Dr, Henderson, NC 27536-2584 | 2011-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891163770 | Leo J. Capobianco, D.o., Ltd. | Non-Pharmacy Dispensing Site | 1371 W Warm Springs Rd Ste 120, Henderson, NV 89014-8068 | 2015-09-09 |
| 1639507494 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 903 S Beckford Dr, Henderson, NC 27536-5908 | 2013-10-14 |
| 1891328217 | Harold Zilberman Md Chartered | Non-Pharmacy Dispensing Site | 880 Seven Hills Dr Ste 100, Henderson, NV 89052-4372 | 2020-02-13 |
| 1922407477 | Vance Family Medcine Pa | Non-Pharmacy Dispensing Site | 381 Ruin Creek Rd, Henderson, NC 27536-2932 | 2014-08-21 |
| 1881953339 | Optimal Health Primary Care Brown PC | Non-Pharmacy Dispensing Site | 10120 S Eastern Ave, Suite 100, Henderson, NV 89052-3951 | 2012-05-03 |
| 1104190370 | Glimpse of Vegas Inc. | Non-Pharmacy Dispensing Site | 10170 S Eastern Ave, Suite 100, Henderson, NV 89052-3968 | 2012-03-05 |
| 1902174741 | Mavis N Matsumoto, Md, LLC | Non-Pharmacy Dispensing Site | 2780 W Horizon Ridge Pkwy, Suite 30, Henderson, NV 89052-3995 | 2011-12-08 |
| 1649316258 | Star Med Consulting LLC | Non-Pharmacy Dispensing Site | 2645 W Horizon Ridge Pkwy, Ste 120, Henderson, NV 89052-2898 | 2007-01-30 |
| 1891748471 | Foot & Ankle Surgical Group, LLP | Non-Pharmacy Dispensing Site | 10561 Jeffreys St, #110, Henderson, NV 89052-4266 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1417321381 | Urgent Cares of America Nc Inc | Non-Pharmacy Dispensing Site | 5214 Market St, Wilmington, NC 28405-4067 | 2015-11-16 |
| 1003280033 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 825 Blowing Rock Blvd, Lenoir, NC 28645-3709 | 2015-11-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1740650456 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 220 Us Highway 70 West, Garner, NC 27529 | 2015-10-07 |
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1922478205 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 910 N Madison Blvd, Suite B, Roxboro, NC 27573-4573 | 2015-09-30 |
| 1942679519 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 511 Smoky Park Hwy, Candler, NC 28715-8613 | 2015-09-24 |
| 1164891016 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2015-09-22 |
| 1811363674 | Unc Physicians Network, LLC | Non-Pharmacy Dispensing Site | 7100-9 Kit Creek Road, Research Triangle Park, NC 27709 | 2015-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.