OPPORTUNITIES INDUSTRIALIZATION CENTER, INC. (NPI# 1750734307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750734307 |
| Entity Type | Organization |
| Organization Name | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC. |
| Other Organization Name | OIC FAMILY MEDICAL CENTER AT COMMUNITY HEALTH PLAZA |
| Practice Address |
1041 Noell Ln Medical Plaza B Rocky Mount NC 27804-2058 |
| Mailing Address |
Po Box 2723 Rocky Mount NC 27802-2723 |
| Practice Telephone | 2529623450 |
| Practice Fax Number | 2529623451 |
| Mailing Telephone | 2529623450 |
| Mailing Fax Number | 2529623451 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | MR. REUBEN BLACKWELL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2522123480 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC. |
| 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 |
| Other Name | Type Code |
|---|---|
| OIC Family Medical Center at Community Health Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396103305 | Opportunities Industrialization Center, Inc. | Clinic/Center | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2016-02-04 |
| Street Address |
1041 NOELL LN MEDICAL PLAZA B |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886272 | Daniel Lind Crocker | Internal Medicine | 1041 Noell Ln, Suite 105, Rocky Mount, NC 27804-2058 | 2005-07-27 |
| 1972049997 | April Maivhli Vang Jones | Physician Assistant | 1041 Noell Ln, Suite #105, Rocky Mount, NC 27804-2058 | 2017-01-13 |
| 1245667575 | Michael R Prafka | Physician Assistant | 1041 Noell Ln, Suite 105, Rocky Mount, NC 27804-2058 | 2013-10-01 |
| 1649519612 | Tar River Mission Clinic, Inc. | Clinic/Center | 1041 Noell Ln, Medical Plaza B, Rocky Mount, NC 27804-2058 | 2013-02-11 |
| 1013265487 | Heidi Forte Bishop | Physician Assistant | 1041 Noell Ln, Suite 105, Rocky Mount, NC 27804-2058 | 2012-08-16 |
| 1013296466 | Susan Jane White | Dietitian, Registered | 1041 Noell Ln, St 101, Rocky Mount, NC 27804-2058 | 2011-08-16 |
| 1225341324 | Crossworks Inc | Dietitian, Registered | 1041 Noell Ln, Rocky Mount, NC 27804-2058 | 2010-07-17 |
| 1841518255 | Patricia Tavaziva | Nurse Practitioner | 1041 Noell Ln, Suite 105, Rocky Mount, NC 27804-2058 | 2010-05-10 |
| 1255519955 | Tonique Tabron | Nurse Practitioner | 1041 Noell Ln, Suite 105, Rocky Mount, NC 27804-2058 | 2008-02-05 |
| 1942342159 | Tisa O Roberts | Family Medicine | 1041 Noell Ln, Medical Plaza B, Rocky Mount, NC 27804-2058 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| 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 |
|---|---|---|---|---|
| 1407406713 | The Hiawatha Center, Inc. | Clinic/Center | 819 W Raleigh Blvd, Rocky Mount, NC 27803-2764 | 2019-09-18 |
| 1245723097 | Opportunities Industrialization Center, Inc | Clinic/Center | 801 Williford St, Rocky Mount, NC 27803-3825 | 2018-06-07 |
| 1548816176 | Opportunities Industrialization Center, Inc | Clinic/Center | 111 S Fairview Rd, Rocky Mount, NC 27801-6971 | 2019-08-09 |
| 1396103305 | Opportunities Industrialization Center, Inc. | Clinic/Center | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2016-02-04 |
| 1962898296 | Opportunities Industrialization Center, Inc | Clinic/Center | 300 N Grace St, Suite 200, Rocky Mount, NC 27804-5345 | 2015-04-14 |
| 1528478237 | Opportunities Industrialization Center, Inc | Clinic/Center | 300 N Grace St, Rocky Mount, NC 27804-5345 | 2014-05-02 |
| 1922020908 | Opportunities Industrialization Center, Inc | Clinic/Center | 111 S Fairview Rd, Rocky Mount, NC 27801-6971 | 2006-07-25 |
| 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 | ROCKY MOUNT |
| Zip Code | 27804 |
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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.