CENTENNIAL HOUSING & COMMUNITY SERVICES CORPORATION (NPI# 1811502818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811502818 |
Entity Type | Organization |
Organization Name | CENTENNIAL HOUSING & COMMUNITY SERVICES CORPORATION |
Other Organization Name | PLYMOUTH PRIMARY CARE RURAL HEALTH CLINIC |
Practice Address |
795 Us Highway 64 E Plymouth NC 27962-9314 |
Mailing Address |
7920 Belt Line Rd Ste 215 Dallas TX 75254-8155 |
Practice Telephone | 2527934500 |
Practice Fax Number | 2527937336 |
Mailing Telephone | 2142109095 |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-10-27 |
Authorized Official Name | FRANK T AVIGNONE IV (CEO) |
Authorized Official Telephone | 2145029614 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
PLYMOUTH PRIMARY CARE RURAL HEALTH CLINIC | Doing Business As Name - Organization |
PLYMOUTH PRIMARYCARE RURAL HEALTH CLINIC | Doing Business As Name - Organization |
Washington Regional Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972119782 | Centennial Housing & Community Services Corporation | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
1558977371 | Centennial Housing & Community Services Corporation | Medicare Defined Swing Bed Unit | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
1902412729 | Centennial Housing & Community Services Corporation | Emergency Medicine | 958 Us Highway 64 E, Plymouth, NC 27962-9216 | 2020-09-17 |
Street Address |
795 US HIGHWAY 64 E |
City | PLYMOUTH |
State | NC |
Zip Code | 27962-9314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407812530 | Daniel L Jones | Optometrist | 795 Us Highway 64 E, Plymouth, NC 27962-9314 | 2006-04-26 |
1891297388 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 795 Us Highway 64 E, Plymouth, NC 27962 | 2018-03-01 |
1700833175 | David Lauren Fitzgerald Od Pa | Optometrist | 795 Us Highway 64 E, Plymouth, NC 27962-9314 | 2006-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
Find all providers in zip 27962 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831467653 | Sutter Valley Medical Foundation | Clinic/Center | 9279 Locust Street, Plymouth, CA 95669 | 2011-12-07 |
1427682640 | Williamston Hospital Corporation | Clinic/Center | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2020-02-26 |
1326587635 | Speare Memorial Hospital | Clinic/Center | 71 Highland St, Plymouth, NH 03264-1233 | 2017-02-20 |
1104153535 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2009-11-05 |
1962650762 | Cah Acquisition Company 1 LLC | Clinic/Center | 1006 Us Highway 64 E, Plymouth, NC 27962 | 2008-09-04 |
1720290794 | Cah Acquisition Company # 1 | Clinic/Center | 1006 Us Hwy 64 East, Plymouth, NC 27962-9215 | 2007-05-04 |
1437291515 | Speare Memorial Hospital | Clinic/Center | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2007-02-13 |
1841342540 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264 | 2007-01-16 |
1821038837 | Cah Acquisition Company 1 LLC | Clinic/Center | 1006 Us Highway 64 E, Plymouth, NC 27962-9215 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689209553 | Murphy Medical Center Inc | Clinic/Center | 125 Medical Park Ln Ste H, Murphy, NC 28906-6921 | 2020-03-11 |
1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
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.