Provider Demographics
NPI:1548276389
Name:FIRSTHEALTH OF THE CAROLINAS, INC.
Entity type:Organization
Organization Name:FIRSTHEALTH OF THE CAROLINAS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-715-4473
Mailing Address - Street 1:522 ALLEN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NC
Mailing Address - Zip Code:27371-2861
Mailing Address - Country:US
Mailing Address - Phone:910-571-5510
Mailing Address - Fax:910-571-5572
Practice Address - Street 1:522 ALLEN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:TROY
Practice Address - State:NC
Practice Address - Zip Code:27371-2861
Practice Address - Country:US
Practice Address - Phone:910-571-5510
Practice Address - Fax:910-571-5772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401306207Q00000X
NC261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89296MMedicaid
NC0296MOtherBCBS GROUP #
NC343431A RURAL HEALTHMedicaid
NC343431A RURAL HEALTHMedicaid
NC341303 RHCMedicare PIN