BAKERSVILLE COMMUNITY MEDICAL CLINIC, INC (NPI# 1770821589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770821589 |
| Entity Type | Organization |
| Organization Name | BAKERSVILLE COMMUNITY MEDICAL CLINIC, INC |
| Practice Address |
36 Hospital Dr Spruce Pine NC 28777-8943 |
| Mailing Address |
86 N Mitchell Ave Bakersville NC 28705-6502 |
| Practice Telephone | 8287667778 |
| Mailing Telephone | 8286882104 |
| Mailing Fax Number | 8286881334 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | MR. CHARLES WAYNE SHELTON (PRESIDENT/CEO) |
| Authorized Official Telephone | 8286885995 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAKERSVILLE COMMUNITY MEDICAL CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799667 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 71 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-30 |
| 1043315054 | Bakersville Community Medical Clinic, Inc | Clinic/Center | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2006-09-14 |
| Street Address |
36 HOSPITAL DR |
| City | SPRUCE PINE |
| State | NC |
| Zip Code | 28777-8943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801870753 | Susan T Snider | Family Medicine | 36 Hospital Dr, Spruce Pine, NC 28777-8943 | 2005-12-05 |
| 1083803142 | Susan T Snider, M.d., P.a. | Family Medicine | 36 Hospital Dr, Spruce Pine, NC 28777-8943 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405265 | Spruce Pine Chiropractic, Pllc | Clinic/Center | 31 Cross Street, Suite 266, Spruce Pine, NC 28777 | 2018-04-24 |
| 1326463316 | Susan Lynn Lamont | Counselor | 2206 Carters Ridge Rd, Spruce Pine, NC 28777 | 2014-02-27 |
| 1548521115 | Mitchell House One, LLC | Assisted Living Facility | 13681 Hwy 226 South, Spruce Pine, NC 28777 | 2012-05-31 |
| 1245590025 | Lisa Wade Thomas | Hearing Instrument Specialist | 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 | 2012-05-25 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1326272824 | Brie Michele Folkner | Family Medicine | 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 | 2009-05-12 |
| 1093901290 | Patricia Susan Noser | Nurse Practitioner | 12348 South 226 Highway, Spruce Pine, NC 28777 | 2007-09-20 |
| 1194943092 | Blue Ridge General Surgery, PC | Surgery | 8017 Nineteen E Highway, Spruce Pine, NC 28777 | 2007-04-23 |
| 1528186277 | Bruce Dennis Crawford | Dentist | 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 | 2007-03-27 |
| 1134284755 | Freedom Memorial In-home Monitoring | Durable Medical Equipment & Medical Supplies | 1422 Roan Road, Spruce Pine, NC 28777 | 2006-12-26 |
| Find all providers in zip 28777 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | SPRUCE PINE |
| Zip Code | 28777 |
Please comment or provide details below to improve the information on BAKERSVILLE COMMUNITY MEDICAL CLINIC, INC.
| 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.