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Beckford Avenue Medical Center PA — NPI 1700049418, Henderson, NC | NPI Central

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NPI 1700049418

OrganizationActive

Beckford Avenue Medical Center PA

NPI 1700049418 · Non-Pharmacy Dispensing Site · Henderson, NC

Provider details

NPI number: 1700049418
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx Inc
Organization subpart: Yes
Authorized official: Kenny Heine, Director of Operations85896252990
License: 23579 (NC)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 23579 (NC)
Suppliers

Practice location

176 S Beckford Dr

Henderson, NC 27536-2584

Phone: (252) 492-2888

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Beckford Avenue Medical Center

Registry dates

Enumerated: 2008-07-03
Last updated: 2012-10-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.