FIRST CHOICE COMMUNITY HEALTH CENTERS (NPI# 1881617850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881617850 |
| Entity Type | Organization |
| Organization Name | FIRST CHOICE COMMUNITY HEALTH CENTERS |
| Other Organization Name | BOONE TRAIL MEDICAL CENTER |
| Practice Address |
1000 Medical Center Road Mamers NC 27552-0397 |
| Mailing Address |
40 Autumn Fern Trl Lillington NC 27546-5155 |
| Practice Telephone | 9108933063 |
| Practice Fax Number | 9108972567 |
| Mailing Telephone | 9103640971 |
| Mailing Fax Number | 9108144064 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-05-03 |
| Authorized Official Name | 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 | 2804129 | 01 |
| NC | 344509A | 05 |
| Other Name | Type Code |
|---|---|
| Boone Trail 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1508823162 | Joseph Jack Umesi | Family Medicine | 1000 Medical Center Road, Mamers, NC 27552 | 2006-04-27 |
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|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
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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.