EASTERN BAND OF CHEROKEE INDIANS (NPI# 1710029756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710029756 |
| Entity Type | Organization |
| Organization Name | EASTERN BAND OF CHEROKEE INDIANS |
| Other Organization Name | CHEROKEE DIABETES PROGRAM |
| Practice Address |
806 Acquoni Rd. Suite 100 Cherokee NC 28719 |
| Mailing Address |
Po Box 666 Cherokee NC 28719-0666 |
| Practice Telephone | 8284971996 |
| Mailing Telephone | 8284971996 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-01-28 |
| Authorized Official Name | SALLY BRADLEY (PROGRAM MANAGER) |
| Authorized Official Telephone | 8284971996 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
344572A | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cherokee Diabetes Program | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942331517 | Eastern Band of Cherokee Indians | Clinic/Center | 328 Old Airport Road, Marble, NC 28905 | 2007-03-08 |
| 1588795165 | Eastern Band of Cherokee Indians | Public Health or Welfare | 73 Kaiser Wilnoty Dr, Cherokee, NC 28719-0666 | 2007-03-08 |
| 1043351166 | Eastern Band of Cherokee Indians | Clinic/Center | 1570 Acquoni Rd., Suite 1, Cherokee, NC 28719 | 2007-02-09 |
| 1134260649 | Eastern Band of Cherokee Indians | Home Health | 73 Kaiser Wilnoty Drive, Cherokee, NC 28719 | 2007-02-08 |
| 1134179161 | Eastern Band of Cherokee Indians | Ambulance | 969 Acquoni Road, Cherokee, NC 28719 | 2006-05-11 |
| 1942522057 | Eastern Band of Cherokee Indians | Clinic/Center | 73 Kaiser Wilnoty Rd, Cherokee, NC 28719 | 2010-02-17 |
| 1619010634 | Eastern Band of Cherokee Indians | Clinic/Center | 73 Kaiser Wilnoty Drive, Cherokee, NC 28719-0736 | 2007-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERN BAND OF CHEROKEE INDIANS | 88 Council House Loop, Cherokee, NC 28719-0419 |
| Street Address |
806 ACQUONI RD. SUITE 100 |
| City | CHEROKEE |
| State | NC |
| Zip Code | 28719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366582959 | Penny Jean Brewster | Internal Medicine | 806 Acquoni Rd., Cherokee, NC 28719 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1730669078 | Olivia M Reed | Social Worker | 188 Cherokee Hospital Loop # C268, Cherokee, NC 28719 | 2018-08-16 |
| 1013468156 | Jonathan Mitzel | Specialist/Technologist | 200 Ravensford Drive, Cherokee, NC 28719 | 2016-10-24 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1942608120 | Ciha Juvenile Services | Clinic/Center | 85 Childrens Home Loop, Cherokee, NC 28719 | 2014-12-19 |
| 1104171081 | Christopher Mcknight | Student in an Organized Health Care Education/Training Program | 188 Hospital Rd, Cherokee, NC 28719 | 2012-07-17 |
| Find all providers in zip 28719 | ||||
| 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 |
|---|---|---|---|---|
| 1043351166 | Eastern Band of Cherokee Indians | Clinic/Center | 1570 Acquoni Rd., Suite 1, Cherokee, NC 28719 | 2007-02-09 |
| 1942522057 | Eastern Band of Cherokee Indians | Clinic/Center | 73 Kaiser Wilnoty Rd, Cherokee, NC 28719 | 2010-02-17 |
| 1619010634 | Eastern Band of Cherokee Indians | Clinic/Center | 73 Kaiser Wilnoty Drive, Cherokee, NC 28719-0736 | 2007-02-15 |
| 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.