BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED


Address: 202 Medical Campus Dr, Burnsville, NC 28714-9004
Phone: 8286826118

BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED (NPI# 1962993352) 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) 1962993352
Entity Type Organization
Organization Name BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED
Practice Address 202 Medical Campus Dr
Burnsville
NC 28714-9004
Mailing Address Po Box 27
Bakersville
NC 28705-0027
Practice Telephone 8286826118
Mailing Telephone 8286882104
Enumeration Date 2018-05-22
Last Update Date 2018-05-22
Authorized Official Name CHARLES W. SHELTON (CEO)
Authorized Official Telephone 8286882104
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619517976 Bakersville Community Medical Clinic, Incorporated Clinic/Center 89 N Mitchell Ave, Bakersville, NC 28705-6502 2020-01-14
1568914521 Bakersville Community Medical Clinic, Incorporated Clinic/Center 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 2016-10-25

Office Location

Street Address 202 MEDICAL CAMPUS DR
City BURNSVILLE
State NC
Zip Code 28714-9004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164568143 Annie Griffith Barrus Nurse Practitioner 202 Medical Campus Dr, Ychd, Burnsville, NC 28714-9004 2007-01-29
1467066118 Tabitha Silvers Fox Nurse Practitioner 202 Medical Campus Dr, Burnsville, NC 28714-9004 2020-09-01
1811439201 Ashley G Fox Registered Nurse 202 Medical Campus Dr, Burnsville, NC 28714-9004 2016-11-16
1295285583 Wendy Whitfield Nurse Practitioner 202 Medical Campus Dr, Burnsville, NC 28714-9004 2016-10-11
1548710965 Jessica Diane Thomas Dietitian, Registered 202 Medical Campus Dr, Burnsville, NC 28714-9004 2016-10-10
1013382720 Tonya Phillips Dietitian, Registered 202 Medical Campus Dr, Burnsville, NC 28714-9004 2015-12-07
1215303722 Aleisha Silvers Registered Nurse 202 Medical Campus Dr, Burnsville, NC 28714-9004 2015-08-19
1306243514 Jessica Hensley Registered Nurse 202 Medical Campus Dr, Burnsville, NC 28714-9004 2014-12-03
1295082980 Autumn Laws Registered Nurse 202 Medical Campus Dr, Burnsville, NC 28714-9004 2012-08-13
1306129929 Toe River Health District Public Health or Welfare 202 Medical Campus Dr, Burnsville, NC 28714-9004 2011-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154895894 Mh Mission Hospital, Lllp Ambulance 225 Wheeler Hill Rd., Burnsville, NC 28714 2019-01-16
1528579430 Healthstat Onsite Clinic Hsm-micaville Preventive Medicine 455 Hickory Springs Road, Burnsville, NC 28714 2017-10-18
1649794470 Nalda Rives Mills Counselor 121b Boone Ridge Dr, Burnsville, NC 28714 2017-08-02
1386029106 Kyle Duncan Dentist 534 East Bypass, Burnsville, NC 28714 2015-07-22
1326474503 Priscilla Jones Whitson Physical Therapist 1720 Us Highways 19e, Burnsville, NC 28714 2013-09-19
1467724179 Melissa Hill Rosenberger Pharmacist 115 Reservoir Road Hwy 19 East Bypass, Burnsville, NC 28714 2012-01-27
1649507971 Cnc / Access Inc. In Home Supportive Care 109 Us Hwy 19 East, Bldg 3 Unit 13, Burnsville, NC 28714 2009-11-06
1841526910 Beth E Ball Nurse Practitioner 800 Medical Campus Drive, Burnsville, NC 28714 2009-10-26
1023255122 Amy M Earnheart Counselor 333 Mountain Heritage High School Road, Bursnville, NC 28714 2009-01-11
1245419480 Yancey County Committee On Aging, Inc. Health Maintenance Organization 10 Swiss Avenue, Burnsville, NC 28714 2007-10-24
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799667 Bakersville Community Medical Clinic, Inc Clinic/Center 71 Blue Ridge Ln, Burnsville, NC 28714-7270 2020-10-30
1871003178 Community Care of West Virginia, Inc. Clinic/Center 228 Kanawha Avenue, Burnsville, WV 26335 2017-10-02
1568914521 Bakersville Community Medical Clinic, Incorporated Clinic/Center 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 2016-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1407406713 The Hiawatha Center, Inc. Clinic/Center 819 W Raleigh Blvd, Rocky Mount, NC 27803-2764 2019-09-18
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Competitor

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City BURNSVILLE
Zip Code 28714

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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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