ROBESON HEALTH CARE CORPORATION (NPI# 1093772410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093772410 |
| Entity Type | Organization |
| Organization Name | ROBESON HEALTH CARE CORPORATION |
| Other Organization Name | MAXTON MEDICAL CENTER |
| Practice Address |
610 E Dr Martin Luther King Jr Dr Maxton NC 28364 |
| Mailing Address |
60 Commerce Plz Pembroke NC 28372-7386 |
| Practice Telephone | 9108445253 |
| Practice Fax Number | 9108443290 |
| Mailing Telephone | 9105212900 |
| Mailing Fax Number | 9107759165 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | GEORGE TIMOTHY HALL (PRESIDENT CEO) |
| Authorized Official Telephone | 9105212900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MHL078127 | NC | Behavioral Health & Social Service Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344569 A/C | 05 | |
| NC | 6005791 | 05 |
| Other Name | Type Code |
|---|---|
| MAXTON MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972157220 | Robeson Health Care Corporation | Clinic/Center | 1309 E 5th St Ste A, Lumberton, NC 28358-6031 | 2019-07-25 |
| 1083053359 | Robeson Health Care Corporation | Pharmacy | 1309 E 5th St, Lumberton, NC 28358-6031 | 2013-06-20 |
| 1750648077 | Robeson Health Care Corporation | Clinic/Center | 507 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2012-04-12 |
| 1023146313 | Robeson Health Care Corporation | Case Management | 60 Commerce Drive, Pembroke, NC 28372 | 2007-03-01 |
| 1023150968 | Robeson Health Care Corporation | Counselor | 109 Cambridge Pl, Smithfield, NC 27577-4717 | 2007-02-13 |
| 1689716607 | Robeson Health Care Corporation | Counselor | 285 Camp Easter Rd, Lakeview, NC 28350-1901 | 2007-02-13 |
| 1669514683 | Robeson Health Care Corporation | Counselor | 3750 Meadow View Rd, Apt. A-1, Lumberton, NC 28358-1920 | 2007-02-13 |
| 1063554004 | Robeson Health Care Corporation | Counselor | 309 East Wardell Drive, Suite A, Pembroke, NC 28372-7998 | 2007-02-13 |
| 1063554095 | Robeson Health Care Corporation | Counselor | 3362 Frontgate Dr Apt 11, Greenville, NC 27834-8584 | 2007-02-13 |
| 1184681496 | Robeson Health Care Corporation | Counselor | 1309 E 5th Str, Lumberton, NC 28358-6031 | 2006-04-28 |
| Street Address |
610 E DR MARTIN LUTHER KING JR DR |
| City | MAXTON |
| State | NC |
| Zip Code | 28364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218972 | Jessica Reinhardt | Physician Assistant | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2020-06-03 |
| 1164042719 | Mahalia Anice Whitley | Physician Assistant | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2020-04-23 |
| 1114485505 | Nikia Delores Ritchie | Nurse Practitioner | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2019-03-05 |
| 1912414731 | Dong-young Kim | Nurse Practitioner | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2018-01-02 |
| 1013422344 | Roselyne Bonareri Onkundi | Registered Nurse | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 | 2017-12-08 |
| 1568972909 | Audrey Dominique Szigedi | Physician Assistant | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2017-10-11 |
| 1417320664 | Kelsey Janelle-marie Ament | Nurse Practitioner | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2015-11-10 |
| 1275900839 | Angela Pruitt Fields | Nurse Practitioner | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2015-08-28 |
| 1194113860 | Leslie Lovette | Physician Assistant | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2015-01-05 |
| 1356777569 | Robeson Health Care Corporation | Pharmacy | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 | 2013-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783976 | Myranda Kari Hammonds | Specialist/Technologist | 11344 Deep Branch Rd., Maxton, NC 28364 | 2018-03-14 |
| 1336695030 | Mariah Oxendine | Counselor | 5981 Mcleod Rd, Maxton, NC 28364 | 2016-09-01 |
| 1174922546 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 120 S Odom St, St. Pauls, NC 28364 | 2014-08-21 |
| 1093138877 | Success Adolescent and Adult Services Inc. | Community/Behavioral Health | 665 E Saunders Street, Maxton, NC 28364 | 2014-01-29 |
| 1710314406 | Lauren Allia Jung | Pharmacist | 106 East Dr. Martin Luther King Jr. Dr., Maxton, NC 28364 | 2013-09-26 |
| 1568725646 | Katina Dianne Dial-scott | Counselor | 202 Hwy 74 West, Maxton, NC 28364 | 2012-06-22 |
| 1659647766 | Bridge of Empowerment,llc | Community/Behavioral Health | 651 East Wilmington Street, Maxton, NC 28364 | 2012-03-23 |
| 1871722637 | Ingram Health Services/manna House,inc | Community/Behavioral Health | 505 West Martin Luther King Drive, Maxton, NC 28364 | 2009-07-14 |
| 1710170238 | Fairley Support Group Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12519 Us Hwy 501 South, Maxton, NC 28364 | 2007-08-20 |
| 1114137692 | Debbie Hammonds Chavis | Specialist | 209 West Third Street, Pembroke, NC 28364 | 2007-05-23 |
| Find all providers in zip 28364 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on ROBESON HEALTH CARE CORPORATION.
| 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.