CHARLOTTE COMMUNITY HEALTH CLINIC, INC. (NPI# 1053801936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053801936 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE COMMUNITY HEALTH CLINIC, INC. |
| Other Organization Name | CHARLOTTE COMMUNITY HEALTH CLINIC - STRAWN TOWERS |
| Practice Address |
1225 S Caldwell St Charlotte NC 28203-4556 |
| Mailing Address |
8401 Medical Plaza Dr Ste 300 Charlotte NC 28262-8702 |
| Practice Telephone | 7043166561 |
| Practice Fax Number | 7043841977 |
| Mailing Telephone | 7043166561 |
| Mailing Fax Number | 7043841977 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | LISA M HOLMES (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7043166561 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLOTTE COMMUNITY HEALTH CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1528363868 | 05 |
| Other Name | Type Code |
|---|---|
| Charlotte Community Health Clinic - Strawn Towers | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902251275 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 5301 Wilkinson Blvd, Charlotte, NC 28208-5455 | 2016-04-25 |
| 1528363868 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702 | 2011-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHARLOTTE COMMUNITY HEALTH CLINIC, INC | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702 |
| Street Address |
1225 S CALDWELL ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1760024749 | Wellcomemd Charlotte Clinic, Inc | Clinic/Center | 8035 Providence Rd Ste 315, Charlotte, NC 28277-8909 | 2019-10-11 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1104303635 | Greenbrook Tms Charlotte LLC | Clinic/Center | 1515 Mockingbird Ln Ste 340, Charlotte, NC 28209-3298 | 2018-07-27 |
| 1811474976 | Elev8 Md Wellness Center | Clinic/Center | 8000 Corporate Center Dr Ste 212, Charlotte, NC 28226-4205 | 2018-07-23 |
| 1235642166 | Thrive Pediatric Therapy, Pllc | Clinic/Center | 3315 Springbank Ln Ste 206, Charlotte, NC 28226-3198 | 2017-11-14 |
| 1821501800 | 4 Life Lab | Clinic/Center | 11709 Fruehauf Dr Ste 103, Charlotte, NC 28273-7285 | 2017-11-13 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1750673729 | Al-falah Group PC | Clinic/Center | 3118 Milton Rd, A, Charlotte, NC 28215 | 2011-05-10 |
| 1245400225 | American Current Care of North Carolina PC | Clinic/Center | 4221 Tuckaseegee Road, Charlotte, NC 28208 | 2008-03-06 |
| Find all providers in CHARLOTTE | ||||
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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.