GREENE COUNTY HEALTH CARE INCORPORATED (NPI# 1164424917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164424917 |
| Entity Type | Organization |
| Organization Name | GREENE COUNTY HEALTH CARE INCORPORATED |
| Other Organization Name | GRIMESLAND COMMUNITY RESOURCE CENTER |
| Practice Address |
550 River Street Grimesland NC 27837 |
| Mailing Address |
Po Box 658 Snow Hill NC 28580-0658 |
| Practice Telephone | 2527521857 |
| Mailing Telephone | 2527478162 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MRS. BEVERLY STROUD (CFO) |
| Authorized Official Telephone | 2527478162 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| 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 | BCBS NC | 02683 | 01 |
| NC | 344599 | 05 |
| Other Name | Type Code |
|---|---|
| Grimesland Community Resource Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194811026 | Greene County Health Care Incorporated | Clinic/Center | 261 Belvoir Hwy, Greenville, NC 27834-8193 | 2006-10-05 |
| 1346242187 | Greene County Health Care Incorporated | Clinic/Center | 540 Queen St, Grifton, NC 28530 | 2005-08-11 |
| 1083616809 | Greene County Health Care Incorporated | Clinic/Center | 140 School Dr, Snow Hill, NC 28580-7288 | 2005-08-11 |
| 1194727925 | Greene County Health Care Incorporated | Clinic/Center | 204 S Main St, Walstonburg, NC 27888-8900 | 2005-08-11 |
| 1700888542 | Greene County Health Care Incorporated | Clinic/Center | 205 Martin Luther King Jr Pkwy, Snow Hill, NC 28580 | 2005-08-11 |
| 1891798054 | Greene County Health Care Incorporated | Clinic/Center | 302 N Greene St, Snow Hill, NC 28580-1412 | 2005-05-23 |
| 1619244084 | Greene County Health Care Incorporated | Clinic/Center | 313 Main St, Bayboro, NC 28515-9529 | 2011-11-29 |
| Street Address |
550 RIVER STREET |
| City | GRIMESLAND |
| State | NC |
| Zip Code | 27837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902352123 | Life Primary Care Clinic, Pllc | Nurse Practitioner | 550 River Street, Grimesland, NC 27837 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508138199 | Kimberly Dawn Ennis | Social Worker | 513 Lancelot Street, Grimesland, NC 27837-0567 | 2012-01-30 |
| 1790107357 | Tracey Lee Smith | Physician Assistant | 1970-c West Arlington Blvd, Greenville, NC 27837-5783 | 2014-01-15 |
| 1609204585 | Charley Tyre | Nurse Practitioner | 2627 Winding Cv, Grimesland, NC 27837-8612 | 2013-10-31 |
| 1467078907 | Morgan Sutton | Student in an Organized Health Care Education/Training Program | 221 Tripp Trl, Grimesland, NC 27837-8701 | 2020-06-21 |
| 1598108664 | George Brian Harris | Counselor | 2812 Mobleys Bridge Rd, Grimesland, NC 27837-8832 | 2013-04-09 |
| 1396912986 | Diane K. Bradshaw | Counselor | 367 Great Forest Rd, Grimesland, NC 27837-9049 | 2008-05-13 |
| 1265621049 | Life Options | Health Maintenance Organization | 4743 Ariel Dr, Grimesland, NC 27837-9107 | 2007-10-17 |
| 1942504428 | Robersonville Psychosocial Rehabilitation LLC | Community/Behavioral Health | 3709 Barton Way, Grimesland, NC 27837-9159 | 2010-12-27 |
| 1275917924 | 3s Therapy, P.C. | Speech-Language Pathologist | 3116 Juniper Branch Dr, Grimesland, NC 27837-9167 | 2015-07-13 |
| 1508143512 | Latonya Harris Grimes | Social Worker | 642 Broadmoor Ct, Grimesland, NC 27837-9188 | 2011-11-05 |
| Find all providers in zip 27837 | ||||
| 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 | ||||
| City | GRIMESLAND |
| Zip Code | 27837 |
Please comment or provide details below to improve the information on GREENE COUNTY HEALTH CARE INCORPORATED.
| 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.