ROBESON HEALTH CARE CORPORATION (NPI# 1750348538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750348538 |
| Entity Type | Organization |
| Organization Name | ROBESON HEALTH CARE CORPORATION |
| Other Organization Name | JULIAN T PIERCE HEALTH CENTER |
| Practice Address |
307 E Wardell Dr Pembroke NC 28372 |
| Mailing Address |
60 Commerce Plz Pembroke NC 28372-7386 |
| Practice Telephone | 9105212816 |
| Practice Fax Number | 9105213583 |
| Mailing Telephone | 9105212900 |
| Mailing Fax Number | 9107759165 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | GEORGE TIMOTHY HALL (PRESIDENT/CEO) |
| Authorized Official Telephone | 9105212900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MHL-078-064 | NC | Behavioral Health & Social Service Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005794 | 05 | |
| NC | 344568 A/C | 05 |
| Other Name | Type Code |
|---|---|
| JULIAN T PIERCE HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972157220 | Robeson Health Care Corporation | Clinic/Center | 1309 E 5th St Ste A, Lumberton, NC 28358-6031 | 2019-07-25 |
| 1083053359 | Robeson Health Care Corporation | Pharmacy | 1309 E 5th St, Lumberton, NC 28358-6031 | 2013-06-20 |
| 1750648077 | Robeson Health Care Corporation | Clinic/Center | 507 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2012-04-12 |
| 1023146313 | Robeson Health Care Corporation | Case Management | 60 Commerce Drive, Pembroke, NC 28372 | 2007-03-01 |
| 1023150968 | Robeson Health Care Corporation | Counselor | 109 Cambridge Pl, Smithfield, NC 27577-4717 | 2007-02-13 |
| 1689716607 | Robeson Health Care Corporation | Counselor | 285 Camp Easter Rd, Lakeview, NC 28350-1901 | 2007-02-13 |
| 1669514683 | Robeson Health Care Corporation | Counselor | 3750 Meadow View Rd, Apt. A-1, Lumberton, NC 28358-1920 | 2007-02-13 |
| 1063554004 | Robeson Health Care Corporation | Counselor | 309 East Wardell Drive, Suite A, Pembroke, NC 28372-7998 | 2007-02-13 |
| 1063554095 | Robeson Health Care Corporation | Counselor | 3362 Frontgate Dr Apt 11, Greenville, NC 27834-8584 | 2007-02-13 |
| 1184681496 | Robeson Health Care Corporation | Counselor | 1309 E 5th Str, Lumberton, NC 28358-6031 | 2006-04-28 |
| Street Address |
307 E WARDELL DR |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300980 | Robin Kay Emanuel | Nurse Practitioner | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2005-07-20 |
| 1689226920 | Brandy Nichole Long | Nurse Practitioner | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2019-07-16 |
| 1639734197 | Donald Dwayne Locklear X | Nurse Practitioner | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2019-05-09 |
| 1225500036 | Donna Jean Oxendine-dial | Pharmacist | 307 E Wardell Dr, Pembroke, NC 28372 | 2018-12-19 |
| 1225514813 | Natasha Jones Kinto | Counselor | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2018-07-17 |
| 1295180206 | Cari Susann Mayers | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372 | 2016-04-27 |
| 1861870149 | Christopher L Bullard | Counselor | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2015-05-07 |
| 1366878571 | Robeson Health Care Corporation | Pharmacy | 307 E Wardell Dr, Pembroke, NC 28372 | 2013-09-19 |
| 1467767053 | Suzette Renee Oxendine | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2010-08-09 |
| 1902806177 | Jamie Lee Morgan | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1841804598 | Curtis V. Cooper Primary Health Care Inc. | Clinic/Center | 244 Ledford Street, 100, Pembroke, GA 31401-3140 | 2020-09-01 |
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| 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 |
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| 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 | ||||
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| 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.