ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC (NPI# 1619342706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619342706 |
| Entity Type | Organization |
| Organization Name | ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC |
| Other Organization Name | CRESWELL PRIMARY CARE |
| Practice Address |
9500 Nc Highway 94 N Creswell NC 27928-8300 |
| Mailing Address |
Po Box 669 Ahoskie NC 27910-0669 |
| Practice Telephone | 2522090237 |
| Practice Fax Number | 2522090197 |
| Mailing Telephone | 2522090237 |
| Mailing Fax Number | 2522090197 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-02-29 |
| Authorized Official Name | KIM A SCHWARTZ (CEO) |
| Authorized Official Telephone | 2523323548 |
| 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 |
| Other Name | Type Code |
|---|---|
| Creswell Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400203 | Roanoke Chowan Community Health Center Inc | Pharmacy | 109 W River St, Colerain, NC 27924-9006 | 2017-11-08 |
| 1720518574 | Roanoke Chowan Community Health Center Inc | Pharmacy | 109 W River St, Colerain, NC 27924-9006 | 2017-06-14 |
| Street Address |
9500 NC HIGHWAY 94 N |
| City | CRESWELL |
| State | NC |
| Zip Code | 27928-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677213 | Kathie E Bollenbach | Physician Assistant | 9500 Nc Highway 94 N, Creswell, NC 27928-8300 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
| 1487838538 | Reaching Independence & Self Empowerment | Day Training, Developmentally Disabled Services | 316 Us Highway 64 W, Creswell, NC 27928-9020 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907232 | Jennifer Sullivan | Massage Therapist | 82884 N Pacific Hwy, Creswell, OR 97426-9407 | 2020-09-21 |
| 1730798802 | Brian Cantoran | Counselor | 640 Meadow Ln, Creswell, OR 97426-9783 | 2020-07-24 |
| 1679117758 | Lisa D Linnell-olsen | Massage Therapist | 30545 Camas Swale Rd, Creswell, OR 97426-9833 | 2019-11-01 |
| 1700435955 | Krista Kay Parlette | Technician | 350 Ironwood Loop, Creswell, OR 97426-9201 | 2019-09-10 |
| 1306493788 | Jason Brasch | Technician | 1243 Spyglass Ct, Creswell, OR 97426-9448 | 2019-08-21 |
| 1134789167 | Hannah Bennion | Music Therapist | 443 C St, Creswell, OR 97426-9541 | 2019-06-20 |
| 1255816377 | Jonnie Leanne Mcbride | Dental Hygienist | 82504 Howe Ln, Creswell, OR 97426-9309 | 2018-09-25 |
| 1811478910 | Children First Therapy LLC | Occupational Therapist | 82322 Bear Creek Road, Creswell, OR 97426 | 2018-08-27 |
| 1194268904 | Marrx, Inc | Pharmacy | 175 East Oregon Ave, Creswell, OR 97426 | 2016-11-28 |
| 1750731758 | Jayme Harrold | Specialist/Technologist | 34388 Christmas Tree Ln, Creswell, OR 97426-9430 | 2016-06-21 |
| Find all providers in CRESWELL | ||||
| 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 | ||||
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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.