BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED (NPI# 1568914521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568914521 |
| Entity Type | Organization |
| Organization Name | BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED |
| Practice Address |
116 Seven Mile Ridge Rd Burnsville NC 28714-8509 |
| Mailing Address |
Po Box 27 Bakersville NC 28705-0027 |
| Practice Telephone | 8286754116 |
| Mailing Telephone | 8286882104 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | MR. CHARLES W SHELTON (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) |
NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619517976 | Bakersville Community Medical Clinic, Incorporated | Clinic/Center | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-14 |
| 1962993352 | Bakersville Community Medical Clinic, Incorporated | Clinic/Center | 202 Medical Campus Dr, Burnsville, NC 28714-9004 | 2018-05-22 |
| Street Address |
116 SEVEN MILE RIDGE RD |
| City | BURNSVILLE |
| State | NC |
| Zip Code | 28714-8509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003897042 | Philip K Mitchell | Family Medicine | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2005-11-08 |
| 1912365099 | Stephynia Limongello | Nurse Practitioner | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2016-02-04 |
| 1518357862 | Sara Greer | Nurse Practitioner | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2015-01-26 |
| 1508270885 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2014-06-16 |
| 1346680105 | Deirdre Doran | Social Worker | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2013-06-26 |
| 1205009420 | Emily Alexandra Chappelear | Physician Assistant | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2008-04-09 |
| 1154525822 | Dorothy Deguzman | Family Medicine | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2007-06-14 |
| 1235256694 | Geeta Mcgahey | Family Medicine | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2007-03-23 |
| 1124143508 | Alice T Haldeman | Physician Assistant | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2007-03-21 |
| 1871657023 | Kirstin James Rule | Advanced Practice Midwife | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895894 | Mh Mission Hospital, Lllp | Ambulance | 225 Wheeler Hill Rd., Burnsville, NC 28714 | 2019-01-16 |
| 1528579430 | Healthstat Onsite Clinic Hsm-micaville | Preventive Medicine | 455 Hickory Springs Road, Burnsville, NC 28714 | 2017-10-18 |
| 1649794470 | Nalda Rives Mills | Counselor | 121b Boone Ridge Dr, Burnsville, NC 28714 | 2017-08-02 |
| 1386029106 | Kyle Duncan | Dentist | 534 East Bypass, Burnsville, NC 28714 | 2015-07-22 |
| 1326474503 | Priscilla Jones Whitson | Physical Therapist | 1720 Us Highways 19e, Burnsville, NC 28714 | 2013-09-19 |
| 1467724179 | Melissa Hill Rosenberger | Pharmacist | 115 Reservoir Road Hwy 19 East Bypass, Burnsville, NC 28714 | 2012-01-27 |
| 1649507971 | Cnc / Access Inc. | In Home Supportive Care | 109 Us Hwy 19 East, Bldg 3 Unit 13, Burnsville, NC 28714 | 2009-11-06 |
| 1841526910 | Beth E Ball | Nurse Practitioner | 800 Medical Campus Drive, Burnsville, NC 28714 | 2009-10-26 |
| 1023255122 | Amy M Earnheart | Counselor | 333 Mountain Heritage High School Road, Bursnville, NC 28714 | 2009-01-11 |
| 1245419480 | Yancey County Committee On Aging, Inc. | Health Maintenance Organization | 10 Swiss Avenue, Burnsville, NC 28714 | 2007-10-24 |
| Find all providers in zip 28714 | ||||
| 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 |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1871003178 | Community Care of West Virginia, Inc. | Clinic/Center | 228 Kanawha Avenue, Burnsville, WV 26335 | 2017-10-02 |
| 1962993352 | Bakersville Community Medical Clinic, Incorporated | Clinic/Center | 202 Medical Campus Dr, Burnsville, NC 28714-9004 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1407406713 | The Hiawatha Center, Inc. | Clinic/Center | 819 W Raleigh Blvd, Rocky Mount, NC 27803-2764 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 28714 |
Please comment or provide details below to improve the information on BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED.
| 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.