FIRST CHOICE COMMUNITY HEALTH CENTERS (NPI# 1740203611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740203611 |
| Entity Type | Organization |
| Organization Name | FIRST CHOICE COMMUNITY HEALTH CENTERS |
| Other Organization Name | BENHAVEN MEDICAL CENTER |
| Practice Address |
985 Nc 87 South Cameron NC 28326 |
| Mailing Address |
40 Autumn Fern Trl Lillington NC 27546-5155 |
| Practice Telephone | 9194999422 |
| Practice Fax Number | 9194996752 |
| Mailing Telephone | 9103640971 |
| Mailing Fax Number | 9108144064 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | MISS SHEILA L SIMMONS (CEO) |
| Authorized Official Telephone | 9103640971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PART B | 2804101 | 01 |
| NC | 344508A | 05 |
| Other Name | Type Code |
|---|---|
| Benhaven Medical Center | Doing Business As Name - 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 |
| 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 |
| 1679706691 | First Choice Community Health Centers | Clinic/Center | 1000 Medical Center Road, Hwy 421, Mamers, NC 27552-0397 | 2009-08-25 |
| 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 |
985 NC 87 SOUTH |
| City | CAMERON |
| State | NC |
| Zip Code | 28326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841669314 | Chien Chun Doll | Nurse Practitioner | 985 Nc 87 South, Cameron, NC 28326 | 2015-09-15 |
| 1780087080 | Margaret K Hayward | Nurse Practitioner | 985 Nc 87 South, Cameron, NC 28326 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879903 | Christapher Frank | Nurse Practitioner | 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 | 2020-04-14 |
| 1649825308 | Marisol Lopez | Dentist | 468 Nc Highway 24-87, Cameron, NC 28326 | 2019-08-08 |
| 1033676671 | Amanda Sue Vakos | Behavior Technician | 169 Mattie Haddock Dr, Cameron, NC 28326 | 2019-03-01 |
| 1518475607 | Mirinda Cossel | Assistant Behavior Analyst | 1477 Nc 87, Cameron, NC 28326 | 2018-01-11 |
| 1366961021 | Thomas Peper | Optometrist | 18 Biltmore Ln, Cameron, NC 28326 | 2017-09-13 |
| 1801312020 | Judith Lee Keeney | Behavioral Analyst | 185 Mittie Haddock Drive, Cameron, NC 28326 | 2017-08-18 |
| 1013455864 | Rita Mashburn | Pharmacist | 2800 Nc Hwy 24-87, Cameron, NC 28326 | 2017-02-01 |
| 1578951042 | Womack Army Medical Center | Clinic/Center | 55 Centennial Parkway, Cameron, NC 28326 | 2015-01-06 |
| 1699178897 | Buffalo Lake Medical Pllc | Physician Assistant | 181 Mittie Haddock, Cameron, NC 28326 | 2014-10-01 |
| 1629487137 | Raymond J. Tseng Dds, Phd, I, Pa | Dentist | 1520 Nc Highway 24/87, Cameron, NC 28326 | 2014-08-08 |
| Find all providers in zip 28326 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780977512 | James Rae Cantu | Family Medicine | 101 Lafferty, Cameron, TX 76520-3684 | 2011-05-26 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1376783373 | Kelly H Barki Do | Family Medicine | Rr 4 Box 19, Cameron, WV 26033-9520 | 2009-03-03 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1396836367 | Cameron Community Health Center Inc | Family Medicine | Rd# 4 Box 19 Wilson Drive, Cameron Community Health Center Inc, Cameron, WV 26033-9520 | 2006-09-27 |
| 1134239130 | Kelly H Barki | Family Medicine | Rd #4 19 Wilson Drive, Cameron Community Health Center Inc, Cameron, WV 26033-9520 | 2006-08-30 |
| 1336253343 | James Kay Stoneking | Family Medicine | 1111 Euclid Dr., Veterans Cboc, Cameron, MO 64429 | 2006-08-18 |
| 1871505024 | Paro Physician Services Inc. | Family Medicine | 908 N Crockett Ave, Cameron, TX 76520-2560 | 2006-08-13 |
| 1598713174 | Mike L Locklear | Family Medicine | 101 Lafferty Ave, Cameron, TX 76520-2551 | 2006-05-05 |
| 1962486951 | James W Neely | Family Medicine | 1608 E Evergreen St, Suite A, Cameron, MO 64429-2400 | 2005-12-02 |
| Find all providers in CAMERON | ||||
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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.