COUNTY OF ROBESON (NPI# 1669697108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669697108 |
Entity Type | Organization |
Organization Name | COUNTY OF ROBESON |
Other Organization Name | ROBESON CHILD HEALTH PLUS |
Practice Address |
460 Country Club Rd Lumberton NC 28360-9494 |
Practice Telephone | 9106082100 |
Practice Fax Number | 9106082102 |
Mailing Telephone | 9106082100 |
Mailing Fax Number | 9106082102 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2012-10-02 |
Authorized Official Name | MR. WILLIAM JOHN SMITH (DIRECTOR) |
Authorized Official Telephone | 9106713200 |
Authorized Official Credential | MPH |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF ROBESON |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
N | 291U00000X | Clinical Medical Laboratory | 34D0934973 | NC | Laboratories |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BLUE CROSS BLUE SHIELD | 0273H | 01 |
Other Name | Type Code |
---|---|
Robeson Child Health Plus | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881970598 | County of Robeson | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2011-10-26 |
1033422266 | County of Robeson | Pharmacy | 108 W 8th St, Lumberton, NC 28358-4848 | 2010-07-16 |
1457425837 | County of Robeson | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2006-11-20 |
1366516742 | County of Robeson | Case Management | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2006-11-20 |
1922177286 | County of Robeson | Case Management | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2006-11-08 |
1942384797 | County of Robeson | Home Health | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2006-10-25 |
1861468803 | County of Robeson | Ambulance | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2006-02-28 |
Street Address |
460 COUNTRY CLUB RD |
City | LUMBERTON |
State | NC |
Zip Code | 28360-9494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233303 | Robert Rhea Earnest | Pediatrics | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2005-05-23 |
1548762727 | Lindsay Michelle Henderson | Nurse Practitioner | 460 Country Club Rd, Lumberton, NC 28360 | 2018-03-05 |
1487010401 | Chiara Lynn Carter | Physician Assistant | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2016-01-06 |
1881970598 | County of Robeson | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2011-10-26 |
1801037262 | Robeson County Health Department | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2009-03-16 |
1871769372 | Mary Bullard Cummings | Dentist | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2008-05-05 |
1659553634 | Deena Joanne Locklear | Dietitian, Registered | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-11-30 |
1144415563 | Josephine Emunah | Dietitian, Registered | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-09-10 |
1871787705 | Monica Mcvicker | Nutritionist | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-09-04 |
1508902867 | Michelle Rising Cox | Advanced Practice Midwife | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-01-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
Find all providers in zip 28360 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679995864 | America's Family Health Care | Clinic/Center | 3460 Capuano Road, Lumberton, NC 28358 | 2014-01-08 |
1477610228 | Ben Hardin, Md, Pa | Clinic/Center | 2901 N Elm St, Lumberton, NC 28358-2982 | 2007-01-02 |
1326036138 | Southeastern Integrated Care | Clinic/Center | 3005 N Elm St, Lumberton, NC 28358-2984 | 2005-10-06 |
1962941211 | Dermatherapy of Southeast Texas | Clinic/Center | 730 N Main St, Suite A, Lumberton, TX 77657-7355 | 2017-02-20 |
1235595927 | The Clinic At Walmart | Clinic/Center | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2016-01-11 |
1881083962 | Southeastern Transition and Primary Care Clinic | Clinic/Center | 2901 N Elm St, Lumberton, NC 28358-2982 | 2015-01-13 |
1801037262 | Robeson County Health Department | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2009-03-16 |
1427084755 | Gordon Family Medicine | Clinic/Center | 725 Oakridge Blvd, Suite A-1, Lumberton, NC 28358-2351 | 2006-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
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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.