ROANOKE CHOWAN COMMUNITY HEALTH CENTER, INC (NPI# 1790851004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790851004 |
| Entity Type | Organization |
| Organization Name | ROANOKE CHOWAN COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | COLERAIN PRIMARY CARE |
| Practice Address |
109 W River St Colerain NC 27924-9006 |
| Mailing Address |
Po Box 669 Ahoskie NC 27910-0669 |
| Practice Telephone | 2523562404 |
| Practice Fax Number | 2523562899 |
| Mailing Telephone | 2522090237 |
| Mailing Fax Number | 2522090197 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-02-10 |
| Authorized Official Name | MRS. KIM A SCHWARTZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2522090237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 018N8 | 01 |
| Other Name | Type Code |
|---|---|
| Colerain Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675113 | Roanoke Chowan Community Health Center, Inc | Clinic/Center | 108 W Main St, Woodland, NC 27897 | 2019-05-23 |
| 1497776470 | Roanoke Chowan Community Health Center, Inc | Clinic/Center | 305 Beechwood Blvd, Murfreesboro, NC 27855-1134 | 2006-07-22 |
| 1407881691 | Roanoke Chowan Community Health Center, Inc | Clinic/Center | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROANOKE CHOWAN COMMUNITY HEALTH CENTER, INC. | 120 Health Center Dr, Ahoskie, NC 27910-8161 |
| Street Address |
109 W RIVER ST |
| City | COLERAIN |
| State | NC |
| Zip Code | 27924-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400203 | Roanoke Chowan Community Health Center Inc | Pharmacy | 109 W River St, Colerain, NC 27924-9006 | 2017-11-08 |
| 1720518574 | Roanoke Chowan Community Health Center Inc | Pharmacy | 109 W River St, Colerain, NC 27924-9006 | 2017-06-14 |
| 1053680892 | Chrystie Lee Stowe | Nurse Practitioner | 109 W River St, Colerain, NC 27924-9006 | 2011-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861515918 | Barbara Jean Davenport | Lodging | 116 Chowan Shores Drive, Colerain, NC 27924 | 2007-04-06 |
| 1649352998 | Colerain Rescue Squad Inc | Ambulance | 110 Winton St, Colerain, NC 27924 | 2006-10-19 |
| 1174042907 | Vickie M Persaud | Day Training/Habilitation Specialist | 605 Thomas Nelson Street, Colerain, NC 27924-0134 | 2017-09-13 |
| 1568951986 | Tonya C Freeman | Custodial Care Facility | 404 W River St, Colerain, NC 27924-8879 | 2018-05-02 |
| 1275027294 | The Home Place | Custodial Care Facility | 404 W River St, Colerain, NC 27924-8879 | 2018-06-22 |
| 1649764762 | Tonya Clark Freeman | Custodial Care Facility | 404 W River St, Colerain, NC 27924-8879 | 2018-06-21 |
| 1619523651 | Eathelda Caldwell | Technician | 1008 Perrytown Rd, Colerain, NC 27924-8953 | 2019-08-15 |
| 1366575268 | New Horizons Community Support Services, Inc. | Community/Behavioral Health | 126 Nc Highway 42, Colerain, NC 27924-9018 | 2007-03-13 |
| 1730374588 | New Horizons Community Support Services, Inc. | Community/Behavioral Health | 126 Nc Highway 42, Colerain, NC 27924-9018 | 2007-09-13 |
| 1528112364 | Moore's Family Care 2 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 225 Morris Ford Rd, Colerain, NC 27924-9172 | 2007-01-22 |
| Find all providers in zip 27924 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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 |
| 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.