ROANOKE CHOWAN COMMUNITY HEALTH CENTER, INC (NPI# 1023675113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023675113 |
| Entity Type | Organization |
| Organization Name | ROANOKE CHOWAN COMMUNITY HEALTH CENTER, INC |
| Practice Address |
108 W Main St Woodland NC 27897 |
| Mailing Address |
Po Box 669 Ahoskie NC 27910-0669 |
| Practice Telephone | 2525873141 |
| Practice Fax Number | 2525873145 |
| Mailing Telephone | 2522090237 |
| Mailing Fax Number | 2522090197 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | JENNIFER M COBB (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 2522090237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Woodland Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790851004 | Roanoke Chowan Community Health Center, Inc | Clinic/Center | 109 W River St, Colerain, NC 27924-9006 | 2006-11-28 |
| 1497776470 | Roanoke Chowan Community Health Center, Inc | Clinic/Center | 305 Beechwood Blvd, Murfreesboro, NC 27855-1134 | 2006-07-22 |
| 1407881691 | Roanoke Chowan Community Health Center, Inc | Clinic/Center | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROANOKE CHOWAN COMMUNITY HEALTH CENTER, INC. | 120 Health Center Dr, Ahoskie, NC 27910-8161 |
| Street Address |
108 W MAIN ST |
| City | WOODLAND |
| State | NC |
| Zip Code | 27897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306144811 | Solid Foundation Facilities Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Cherry St, Woodland, NC 27897 | 2011-03-08 |
| 1750454807 | John H Stanley | Family Medicine | 105 Spruce Street, Drawer B, Woodland, NC 27897-0447 | 2006-11-16 |
| 1326181827 | Carolina Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Cherry Street, Woodland, NC 27897-0717 | 2007-02-14 |
| 1326262809 | Veronica Michelle Bowser | Counselor | 176 Burgwyn St, Woodland, NC 27897-9517 | 2007-04-13 |
| 1235514522 | Comfort Living of Woodland | Custodial Care Facility | 615 W Main St, Woodland, NC 27897-9618 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1477150480 | Mikella Graham | Pharmacist | 3018 Shawville Hwy, Woodland, PA 16881-8700 | 2020-10-02 |
| 1366056798 | Rachel Riely | Speech-Language Pathologist | 240 Palm Ave, Woodland, CA 95695-2844 | 2020-09-02 |
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1700402237 | Woodland Care Pharmacy & Medical Supply LLC | Pharmacy | 672 Cottonwood St, Woodland, CA 95695-3615 | 2020-06-20 |
| 1437775202 | Northern Valley Indian Health | Clinic/Center | 1280 E Gibson Rd, Woodland, CA 95776-6315 | 2020-06-17 |
| 1255951117 | Ronald A Vannett | Behavior Technician | 272 Quail Dr, Woodland, CA 95695-6901 | 2020-04-21 |
| 1558997965 | Alder Ridge Massage and Essential Oils | Massage Therapist | 650 Goerig St, Ste E, Woodland, WA 98674-9401 | 2020-03-17 |
| 1770115065 | Turning Point Community Programs | Community/Behavioral Health | 520 Cottonwood St Ste 16, Woodland, CA 95695-3603 | 2020-02-05 |
| 1780214205 | Alexis Young | Student in an Organized Health Care Education/Training Program | 284 County Road 461, Woodland, AL 36280-5864 | 2020-01-23 |
| Find all providers in WOODLAND | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649645185 | Communicare Health Centers | Clinic/Center | 2780 E Gibson Rd, Woodland, CA 95776-5147 | 2015-12-09 |
| 1356569172 | Communicare Health Centers | Clinic/Center | 215 West Beamer St., Woodland, CA 95695-2585 | 2007-04-24 |
| 1265650089 | Communicare Health Centers | Clinic/Center | 215 West Beamer St., Woodland, CA 95695-2585 | 2007-04-24 |
| 1972721793 | Communicare Health Centers | Clinic/Center | 215 West Beamer St., Woodland, CA 95695 | 2007-04-24 |
| 1174653059 | Chapa-de Indian Health Program, Inc. | Clinic/Center | 175 W Court St, Woodland, CA 95695-2913 | 2007-03-07 |
| 1558469064 | Communicare Health Centers | Clinic/Center | 215 W Beamer St, Woodland, CA 95695-2510 | 2006-09-20 |
| 1760415889 | The Health Care Authority of The Town of Wedowee | Clinic/Center | 76 County Road 64, Woodland, AL 36280-5209 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1245842178 | Gaston Family Health Services, Inc. | Clinic/Center | 144 William Ellis Dr, Advance, NC 27006-7990 | 2020-08-21 |
| 1851909444 | Gaston Family Health Services, Inc. | Clinic/Center | 302 28th Ave Ne, Hickory, NC 28601-1116 | 2020-07-20 |
| 1750999496 | Gaston Family Health Services, Inc. | Clinic/Center | 180 War Eagle Dr, Mocksville, NC 27028-6151 | 2020-07-20 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1124636873 | Gaston Family Health Services, Inc. | Clinic/Center | 451 Catawba Valley Blvd, Hickory, NC 28602-9631 | 2020-07-20 |
| 1093323099 | Gaston Family Health Services, Inc. | Clinic/Center | 5040 E Bandys Xrd, Catawba, NC 28609-8075 | 2020-07-16 |
| 1366088957 | Gaston Family Health Services, Inc. | Clinic/Center | 497 Farmington Rd, Mocksville, NC 27028-7639 | 2019-11-19 |
| 1285270868 | Gaston Family Health Services, Inc. | Clinic/Center | 160 Martin Luther King Junior Rd, Mocksville, NC 27028 | 2019-11-19 |
| 1306481957 | Gaston Family Health Services, Inc. | Clinic/Center | 3407 Plateau Rd, Newton, NC 28658-8809 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROANOKE CHOWAN COMMUNITY HEALTH CENTER, INC.
| 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.