POLK COUNTY COMMUNITY HEALTH AND WELLNESS CENTER, INC (NPI# 1881023745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881023745 |
| Entity Type | Organization |
| Organization Name | POLK COUNTY COMMUNITY HEALTH AND WELLNESS CENTER, INC |
| Other Organization Name | POLK WELLNESS CENTER |
| Practice Address |
155 W Mills St Ste 202 Columbus NC 28722-9462 |
| Practice Telephone | 8288942222 |
| Practice Fax Number | 8288942229 |
| Mailing Telephone | 8288942222 |
| Mailing Fax Number | 8288942229 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | JAMIE JAC-ANN SMITH (OFFICE MANAGER) |
| Authorized Official Telephone | 8288942222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Polk Wellness Center | Doing Business As Name - Organization |
| Street Address |
155 W MILLS ST STE 202 |
| City | COLUMBUS |
| State | NC |
| Zip Code | 28722-9462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757803 | Blue Ridge Community Health Services, Inc. | Clinic/Center | 155 W Mills St, Columbus, NC 28722-9412 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329145 | Polk County Rescue Squad | Ambulance | 133 Walker St, Columbus, NC 28722 | 2019-04-10 |
| 1912406612 | Healthstat Onsite Clinic Coats Hatch | Preventive Medicine | 960 East Nc 108 Highway, Columbus, NC 28722 | 2018-02-08 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1306272521 | Healthstat On-site Clinic/milliken Hatch | Preventive Medicine | 960 E Nc 108 Hwy, Columbus, NC 28722 | 2013-09-19 |
| 1295177988 | Rebecca Ann Fox | Pharmacist | 725 Laurel Ridge Rd, Columbus, NC 28722 | 2013-07-23 |
| 1063789808 | James Rick Mccallister | Counselor | 801 W. Mills St., Polk Wellness Center, Columbus, OH 28722 | 2011-11-22 |
| 1942502661 | David Ira Hendricks | Pharmacist | 333 West Mills Street, Columbus, NC 28722 | 2010-12-01 |
| 1346476298 | Cami Lockhart Dotson | Orthotic Fitter | 133 Shuford Road, Columbus, NC 28722 | 2009-06-05 |
| 1528237740 | David C Cotty Dmd & Associates Pa | Dentist | 816 West Mills Street, Suite E, Columbus, NC 28722 | 2008-02-21 |
| 1770619439 | Advent Internal Medicine | Internal Medicine | 11 Sunshine Ln, Columbus, NC 28722 | 2007-02-26 |
| Find all providers in zip 28722 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| Find all providers in COLUMBUS | ||||
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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.