FIRST CHOICE COMMUNITY HEALTH CENTERS (NPI# 1679706691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679706691 |
| Entity Type | Organization |
| Organization Name | FIRST CHOICE COMMUNITY HEALTH CENTERS |
| Other Organization Name | MOBILE DENTAL |
| Practice Address |
1000 Medical Center Road Hwy 421 Mamers NC 27552-0397 |
| Mailing Address |
40 Autumn Fern Trl Lillington NC 27546-5155 |
| Practice Telephone | 9108935402 |
| Practice Fax Number | 9108932567 |
| Mailing Telephone | 9103640971 |
| Mailing Fax Number | 9108144064 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | SHEILA SIMMONS (CEO) |
| Authorized Official Telephone | 9103640971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mobile Dental | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083971279 | First Choice Community Health Centers | General Practice | 40 Autumn Fern Trail, Lillington, NC 27546-9998 | 2012-04-12 |
| 1457374324 | First Choice Community Health Centers | Family Medicine | 84 Medical Dr, Angier, NC 27501-6087 | 2006-07-25 |
| 1740203611 | First Choice Community Health Centers | Family Medicine | 985 Nc 87 South, Cameron, NC 28326 | 2006-07-25 |
| 1811910706 | First Choice Community Health Centers | Dentist | 6720 Overhills Rd, Spring Lake, NC 28390-8872 | 2006-07-25 |
| 1578819959 | First Choice Community Health Centers | Pharmacy | 40 Autumn Fern Trl, Lillington, NC 27546-5155 | 2012-08-03 |
| 1851524870 | First Choice Community Health Centers | Clinic/Center | 1000 Medical Center Road, Hwy 421, Mamers, NC 27552-0397 | 2009-08-25 |
| 1902829153 | First Choice Community Health Centers | Family Medicine | 6750 Overhills Rd, Spring Lake, NC 28390-8872 | 2006-07-26 |
| 1881617850 | First Choice Community Health Centers | Family Medicine | 1000 Medical Center Road, Mamers, NC 27552-0397 | 2006-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIRST CHOICE COMMUNITY HEALTH CENTERS | 40 Autumn Fern Trail, Lillington, NC 27546-5155 |
| Street Address |
1000 MEDICAL CENTER ROAD HWY 421 |
| City | MAMERS |
| State | NC |
| Zip Code | 27552-0397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508823162 | Joseph Jack Umesi | Family Medicine | 1000 Medical Center Road, Mamers, NC 27552 | 2006-04-27 |
| 1851524870 | First Choice Community Health Centers | Clinic/Center | 1000 Medical Center Road, Hwy 421, Mamers, NC 27552-0397 | 2009-08-25 |
| 1700037496 | Marva B Rich | Physician Assistant | 1000 Medical Center Road, Po Drawer B, Hwy 421, Mamers, NC 27552 | 2008-10-01 |
| 1801051610 | Leslie Byrne | Nurse Practitioner | 1000 Medical Center Road, Po Drawer B - Hwy 421, Mamers, NC 27552 | 2008-07-21 |
| 1881617850 | First Choice Community Health Centers | Family Medicine | 1000 Medical Center Road, Mamers, NC 27552-0397 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508823162 | Joseph Jack Umesi | Family Medicine | 1000 Medical Center Road, Mamers, NC 27552 | 2006-04-27 |
| 1700037496 | Marva B Rich | Physician Assistant | 1000 Medical Center Road, Po Drawer B, Hwy 421, Mamers, NC 27552 | 2008-10-01 |
| 1801051610 | Leslie Byrne | Nurse Practitioner | 1000 Medical Center Road, Po Drawer B - Hwy 421, Mamers, NC 27552 | 2008-07-21 |
| 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 |
|---|---|---|---|---|
| 1851524870 | First Choice Community Health Centers | Clinic/Center | 1000 Medical Center Road, Hwy 421, Mamers, NC 27552-0397 | 2009-08-25 |
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|---|---|---|---|---|
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| 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 |
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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.