CENTENNIAL HOUSING & COMMUNITY SERVICES CORPORATION


Address: 795 Us Highway 64 E, Plymouth, NC 27962-9314
Phone: 2527934500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

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

Other Provider IDs and Locations

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

Office Location

Street Address 795 US HIGHWAY 64 E
City PLYMOUTH
State NC
Zip Code 27962-9314

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PLYMOUTH
Zip Code 27962

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Dataset Information

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.

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