CHARLOTTE COMMUNITY HEALTH CLINIC, INC. (NPI# 1528363868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528363868 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE COMMUNITY HEALTH CLINIC, INC. |
| Practice Address |
8401 Medical Plaza Dr Ste 300 Charlotte NC 28262-8702 |
| Practice Telephone | 7043166574 |
| Practice Fax Number | 7043841977 |
| Mailing Telephone | 7043166561 |
| Mailing Fax Number | 7043841977 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MRS. CAROLYN C ALLISON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7043166561 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053801936 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 1225 S Caldwell St, Charlotte, NC 28203-4556 | 2018-05-16 |
| 1902251275 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 5301 Wilkinson Blvd, Charlotte, NC 28208-5455 | 2016-04-25 |
| 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 |
8401 MEDICAL PLAZA DR STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-8702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225059884 | Hilary L Canipe | Family Medicine | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262 | 2006-07-21 |
| 1902421365 | Amanda Renee Cruz | Nurse Practitioner | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702 | 2020-06-11 |
| 1386171254 | Anne Parrish Steptoe | Pediatrics | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702 | 2017-05-22 |
| 1376968933 | Yovani Sabet Sanchez Rivas | Social Worker | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702 | 2014-02-19 |
| 1295165405 | Marie A Kristensen | Nurse Practitioner | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262 | 2013-11-25 |
| 1093882664 | Michelle Hewlett Wynn | Pediatrics | 8401 Medical Plaza Dr Ste 300, Charlotte, NC 28262-8702 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| 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 |
|---|---|---|---|---|
| 1558308080 | The C.w. Williams Community Health Center, Inc | Clinic/Center | 3333 Wilkinson Blvd, Charlotte, NC 28208-5631 | 2006-06-01 |
| 1912522020 | Gaston Family Health Services, Inc. | Clinic/Center | 6133 The Plz, Charlotte, NC 28215-2401 | 2020-06-15 |
| 1902251275 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 5301 Wilkinson Blvd, Charlotte, NC 28208-5455 | 2016-04-25 |
| 1447417670 | The C. W. Williams Community Health Center, Inc | Clinic/Center | 3333 Wilkinson Blvd, Charlotte, NC 28208-5631 | 2008-05-16 |
| 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.