WARREN-VANCE COMMUNITY HEALTH CENTER (NPI# 1629369368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629369368 |
Entity Type | Organization |
Organization Name | WARREN-VANCE COMMUNITY HEALTH CENTER |
Other Organization Name | NORTHERN OUTREACH CLINIC |
Practice Address |
816 Us 158 Business West 102 Warrenton NC 27589 |
Practice Telephone | 2522576213 |
Practice Fax Number | 2522573286 |
Mailing Telephone | 2522576213 |
Mailing Fax Number | 2522573286 |
Enumeration Date | 2011-04-28 |
Last Update Date | 2011-04-28 |
Authorized Official Name | DR. MICHELLE COLLINS OGLE (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2524922161 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
1077723 | NC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Northern Outreach Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477844298 | Warren-vance Community Health Center | Clinic/Center | 176 S Beckford Dr, Henderson, NC 27536-2584 | 2011-04-27 |
Street Address |
816 US 158 BUSINESS WEST 102 |
City | WARRENTON |
State | NC |
Zip Code | 27589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972154151 | Myia Pitt | Technician | 305 E Butte Street, Warrenton, NC 27589 | 2019-09-27 |
1326507260 | Alpha Magnolia Garden LLC | Assisted Living Facility | 930 Hwy. 158 Bus. East, Warrenton, NC 27589 | 2019-03-19 |
1780069096 | Anna D Ragonese | Occupational Therapist | 864 Hwy Business 158 West, Warrenton, NC 27589 | 2015-07-28 |
1225440480 | Reid Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Railroad Lane, Warrenton, NC 27589 | 2014-05-22 |
1255759155 | Jocqueline Spencer | Occupational Therapist | 864 Us Highway 158, Business West, Warrenton, NC 27589 | 2014-03-29 |
1871914705 | Kimberlee Plyler | Occupational Therapy Assistant | 864 Us Hwy 158 Business, Warrenton, NC 27589 | 2013-12-19 |
1104251008 | Ilana Danielle Coffer | Speech-Language Pathologist | Us Hwy 158 Business W, Warrenton, NC 27589 | 2013-09-10 |
1134552722 | Derick Nathaniel Bayersdorfer | Occupational Therapy Assistant | 864 Us Hwy 158 Business West, Warrenton, NC 27589 | 2013-08-19 |
1144669979 | Goode Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 391 Snowhill Road, Warrenton, NC 27589 | 2013-06-14 |
1831532944 | Futrell Pharmacy Service, Inc | Pharmacy | 108b S. Main Street, Warrenton, NC 27589 | 2013-04-09 |
Find all providers in zip 27589 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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1073175121 | Blue Ridge Community Health Services, Inc. | Clinic/Center | 60 Gerber Rd, Asheville, NC 28803-2983 | 2019-06-28 |
1376046003 | Deark Medical Center Pllc | Clinic/Center | 3719 Latrobe Dr Ste 840, Charlotte, NC 28211-5121 | 2018-03-08 |
1215485024 | Piedmont Triad Regional Council | Clinic/Center | 1398 Carrollton Crossing Dr, Kernersville, NC 27284-3896 | 2016-09-21 |
1558600601 | Samaritan Community Health Center, Inc. | Clinic/Center | 1720 W Arlington Blvd, Greenville, NC 27834-5998 | 2013-02-09 |
1881834232 | Guilford County Health Department | Clinic/Center | 210 Kinnley Ct, Greensboro, NC 27455-0970 | 2009-02-25 |
1891949707 | Kinetic Kids, Inc. | Clinic/Center | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2008-11-05 |
1558526707 | Upward Bound Community Health Center | Clinic/Center | 9128 Colliers Chapel Church Rd, Linden, NC 28356-9242 | 2008-07-26 |
1265639587 | Michael Brush Hussey | Clinic/Center | 779 N Main St, High Point, NC 27262-4333 | 2007-06-29 |
1417073347 | Anson Regional Medical Services, Inc. | Clinic/Center | 7784 Us Highway 52 S, Morven, NC 28119-8313 | 2007-03-22 |
1952431520 | Toe River Health District | Clinic/Center | 130 Forest Service Dr, Suite A, Bakersville, NC 28705-7047 | 2007-03-06 |
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.