COMMUNITY HEALTH INTERVENTIONS, INC (NPI# 1083134092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083134092 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH INTERVENTIONS, INC |
| Practice Address |
2409 Murchison Rd Fayetteville NC 28301-3519 |
| Practice Telephone | 9104886118 |
| Practice Fax Number | 9104886810 |
| Mailing Telephone | 9104886118 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | MISS KIMBERLY HARRIS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9195990341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NC | Ambulatory Health Care Facilities | |
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 W Southern Ave, Raeford, NC 283763218 | 9104886118 | 9104886118 |
| Street Address |
2409 MURCHISON RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344071 | Cumberland County Hospital System, Inc | Family Medicine | 2409 Murchison Rd, Fayetteville, NC 28301-3519 | 2005-05-27 |
| 1700274313 | Kristina Lucille Polley | Physician Assistant | 2409 Murchison Rd, Fayetteville, NC 28301-3519 | 2015-01-05 |
| 1114085354 | Sandra Carr | Family Medicine | 2409 Murchison Rd, Suite B, Fayetteville, NC 28301-3519 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297033 | Washington Regional Medical System | General Practice | 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 | 2014-05-08 |
| 1053754622 | Hessel Kooistra IIi | General Practice | 10971 Rocky Creek Rd, Fayetteville, AR 72701-0614 | 2013-04-12 |
| 1861636607 | John James Sacco | General Practice | 5018 Worthington Way, Fayetteville, NY 13066-8703 | 2009-04-23 |
| 1093877441 | Michael R Ressal | General Practice | 3415 C1 Melrose Road, Fayetteville, NC 28304-1608 | 2006-12-14 |
| 1184727711 | Donald Eric Milmore | General Practice | 120 Walnut Street, Fayetteville, NY 13066-2028 | 2006-09-07 |
| 1710993654 | Scott David Fedosky | General Practice | 2603 Main Dr, Suite # 6, Fayetteville, AR 72704-5278 | 2006-07-31 |
| 1356377741 | Linda M Ekman | General Practice | 117 E Sycamore St, Fayetteville, AR 72703-2540 | 2006-06-25 |
| 1902832660 | Janet Lynn Titus | General Practice | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-24 |
| 1720020712 | Diane Elizabeth Ashby | General Practice | 207 W Maple Ave, Fayetteville, WV 25840-1413 | 2006-06-12 |
| 1427008093 | Medical Associates of Northwest Arkansas Pa | General Practice | 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 | 2006-05-12 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH INTERVENTIONS, 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.