BERTIE COUNTY RURAL HEALTH ASSOC. (NPI# 1053577452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053577452 |
| Entity Type | Organization |
| Organization Name | BERTIE COUNTY RURAL HEALTH ASSOC. |
| Practice Address |
104 Rhodes Ave Windsor NC 27983-9656 |
| Mailing Address |
104 Rhodes Ave Po Box 628 Windsor NC 27983-9656 |
| Practice Telephone | 2527943042 |
| Practice Fax Number | 2527942911 |
| Mailing Telephone | 2527943042 |
| Mailing Fax Number | 2527942911 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | DR. ALBERT THOMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2527941835 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | BERTIE COUNTY RURAL HEALTH ASSOC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344512C | 05 |
| Street Address |
104 RHODES AVE |
| City | WINDSOR |
| State | NC |
| Zip Code | 27983-9656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639227184 | Gilbert D Arenas | Family Medicine | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2007-01-08 |
| 1922608686 | Timothy Wayne Umphlett Sr. | Nurse Practitioner | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2020-10-30 |
| 1801427711 | Bertie County Rural Health Association | Pharmacy | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2020-01-29 |
| 1447804752 | Deanna Moore | Nurse Practitioner | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2019-07-25 |
| 1730486648 | Kristen Elizabeth Mcginty | Nurse Practitioner | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2011-02-12 |
| 1053572131 | Bertie County Rural Health | Specialist | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2008-06-20 |
| 1346463981 | Deborah W Stokely | Nurse Practitioner | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2007-04-11 |
| 1093856536 | Richard Gregory | Physician Assistant | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2007-02-09 |
| 1023159647 | Kareen Binion-brown | Specialist | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666187 | Daughters Like Me, LLC | Respite Care | 109 W Byrd Street, Windsor, NC 27983 | 2020-10-15 |
| 1982220018 | Marlee Sloan | Specialist/Technologist | 705 Us Hwy 13n, Windsor, NC 27983 | 2020-06-24 |
| 1295237774 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 105 E Granville Street, Windsor, NC 27983 | 2018-03-01 |
| 1013356138 | Rachel Dorothea Smith | Pharmacist | 119 U.S. Highway 13 Bypass, Windsor, NC 27983 | 2013-06-21 |
| 1689938219 | Rivers Edge Assisted Living | Assisted Living Facility | 205 W. Watson St., Windsor, NC 27983 | 2012-06-28 |
| 1336311034 | Health Care Options of The East | Home Health | 202 C Us 13 Bypass, Windsor, NC 27983 | 2008-04-02 |
| 1780740191 | Rachel's House | Residential Treatment Facility, Emotionally Disturbed Children | 336 Us 13-17 Hwy S, Windsor, NC 27983 | 2006-12-29 |
| 1730272436 | Uplift Comprehensive Services | Residential Treatment Facility, Emotionally Disturbed Children | 312 Sterlingworth Street, Windsor, NC 27983 | 2006-10-02 |
| 1568416055 | County of Bertie | Ambulance | 106 Dundee St, Windsor, NC 27983 | 2006-05-20 |
| 1376517185 | Mediport Inc | Non-emergency Medical Transport (VAN) | 344 School Road, Windsor, NC 27983 | 2006-02-16 |
| Find all providers in zip 27983 | ||||
| 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 |
|---|---|---|---|---|
| 1710218409 | Alliance Medical Center | Clinic/Center | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492-9244 | 2010-01-20 |
| 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 | ||||
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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.