BAKERSVILLE COMMUNITY MEDICAL CLINIC, INC (NPI# 1043315054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043315054 |
| Entity Type | Organization |
| Organization Name | BAKERSVILLE COMMUNITY MEDICAL CLINIC, INC |
| Practice Address |
86 N Mitchell Ave Bakersville NC 28705-6502 |
| Mailing Address |
86 N Mitchell Ave P.o. Box 27 Bakersville NC 28705-6502 |
| Practice Telephone | 8286882104 |
| Practice Fax Number | 8286881334 |
| Mailing Telephone | 8286882104 |
| Mailing Fax Number | 8286881334 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. CHARLES W SHELTON (PRESIDENT/CEO) |
| Authorized Official Telephone | 8286882104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CHC24141 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1770821589 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 36 Hospital Dr, Spruce Pine, NC 28777-8943 | 2013-01-29 |
| Street Address |
86 N MITCHELL AVE |
| City | BAKERSVILLE |
| State | NC |
| Zip Code | 28705-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912972860 | Florence Jeanette Dellinger | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2006-02-22 |
| 1790384105 | Cassie York | Counselor | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-10-19 |
| 1487284964 | Jessica Ruegg | Counselor | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-23 |
| 1659911634 | Myranda Edwards | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-08 |
| 1790346765 | Amelia Brommer | Social Worker | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2019-06-21 |
| 1285102640 | Kendra Lee Rumback | Physician Assistant | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2018-11-05 |
| 1396212981 | Lyndsay Edwards | Physician Assistant | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2018-11-01 |
| 1164962858 | Linda Myers-reed | Physician Assistant | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2017-03-01 |
| 1437507498 | Tiffany Woody | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2016-06-01 |
| 1184086480 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 86 N Mitchell Ave, Room L, Bakersville, NC 28705-6502 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1700122108 | Mitchell County Transportation Authority | Non-emergency Medical Transport (VAN) | 73 Crimson Laurel Circle, Suite 7, Bakersville, NC 28705 | 2012-12-13 |
| 1841444783 | Johnson Enterprises of Shelby Inc | Assisted Living Facility | 409 Harrison Ave, Yadkinville, NC 28705 | 2008-11-05 |
| 1609903301 | Bakersville Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 580 South Hwy 226, Bakersville, NC 28705 | 2007-02-28 |
| 1710075759 | Blue Ridge Hospital System Inc | General Acute Care Hospital | 89 North Mitchell Ave, Bakersville, NC 28705 | 2006-10-11 |
| 1467912782 | Anthony Lawson Hudson | Pharmacist | 580 South Hwy 226, Bakersville, NC 28705 | 2019-03-22 |
| 1467650036 | Pittman Family Care | Lodging | 47 Piney Haven Dr, Bakersville, NC 28705-0525 | 2007-07-05 |
| 1477113975 | Alex Colby Green | Dentist | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2019-06-17 |
| 1932550381 | Nicole Allen | Family Medicine | 86 N Mitchell Ave Ste 510, Bakersville, NC 28705-6502 | 2016-06-28 |
| 1619517976 | Bakersville Community Medical Clinic, Incorporated | Clinic/Center | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-14 |
| Find all providers in zip 28705 | ||||
| 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 |
|---|---|---|---|---|
| 1619517976 | Bakersville Community Medical Clinic, Incorporated | Clinic/Center | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-14 |
| 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 | ||||
| City | BAKERSVILLE |
| Zip Code | 28705 |
Please comment or provide details below to improve the information on BAKERSVILLE COMMUNITY MEDICAL CLINIC, 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.