NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED (NPI# 1912954090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912954090 |
| Entity Type | Organization |
| Organization Name | NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED |
| Other Organization Name | MEDNORTH HEALTH CENTER |
| Practice Address |
925 N 4th St Wilmington NC 28401-3450 |
| Practice Telephone | 9103430270 |
| Practice Fax Number | 9102511540 |
| Mailing Telephone | 9103430270 |
| Mailing Fax Number | 9102511540 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MS. ALTHEA JOHNSON (CEO) |
| Authorized Official Telephone | 9102028623 |
| 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 | MEDICAID (HIV CASE MGMT) | 8700429 | 01 |
| NC | 344555 | 05 | |
| NC | BLUECROSS BLUESHIELD | 0155P | 01 |
| Other Name | Type Code |
|---|---|
| MedNorth Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512691 | New Hanover Community Health Center Incorporated | Clinic/Center | 240 Calhoun Dr, Wilmington, NC 28412-6202 | 2008-06-20 |
| 1457512766 | New Hanover Community Health Center Incorporated | Clinic/Center | 1805 S 13th St, Wilmington, NC 28401-6469 | 2008-06-19 |
| Street Address |
925 N 4TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346210374 | Eileen F Hubler | Nurse Practitioner | 925 N 4th St, Wilmington, NC 28401-3450 | 2006-01-24 |
| 1083259212 | Laura Carolina Pica | Social Worker | 925 N 4th St, Wilmington, NC 28401-3450 | 2019-11-12 |
| 1548622657 | Brendan T Payne | Family Medicine | 925 N 4th St, Wilmington, NC 28401-3450 | 2016-03-28 |
| 1740663921 | Eddie Romero Graham | Dentist | 925 N 4th St, Wilmington, NC 28401-3450 | 2015-07-07 |
| 1730579681 | Susan Jordan Boyd | Nurse Practitioner | 925 N 4th St, Wilmington, NC 28401-3450 | 2015-01-30 |
| 1922402833 | New Hanover Community Health Center | Counselor | 925 N 4th St, Wilmington, NC 28401-3450 | 2014-10-21 |
| 1366866600 | Karim Peppers | Dentist | 925 N 4th St, Wilmington, NC 28401-3450 | 2014-02-06 |
| 1013343458 | Darcie Marie Mchugh | Registered Nurse | 925 N 4th St, Wilmington, NC 28401-3450 | 2013-09-17 |
| 1467887224 | New Hanover Community Health Center Dba Mednorth Health Center | Clinic/Center | 925 N 4th St, Wilmington, NC 28401-3450 | 2013-09-11 |
| 1598190753 | Cynthia Lea Yauch | Dental Hygienist | 925 N 4th St, Wilmington, NC 28401-3450 | 2013-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1457512691 | New Hanover Community Health Center Incorporated | Clinic/Center | 240 Calhoun Dr, Wilmington, NC 28412-6202 | 2008-06-20 |
| 1669479929 | Westside Family Healthcare, Inc. | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2005-07-01 |
| 1861958829 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 445 E Anaheim St, Wilmington, CA 90744-4600 | 2019-02-14 |
| 1346588985 | Butler County Community Health Consortium Inc | Clinic/Center | 953 S South St, Wilmington, OH 45177-2921 | 2013-01-16 |
| 1417266537 | Healthsource of Ohio, Inc. | Clinic/Center | 140 W Main St, Wilmington, OH 45177-2239 | 2010-10-07 |
| 1821232869 | Westside Family Healthcare, Inc | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2009-04-21 |
| 1457512766 | New Hanover Community Health Center Incorporated | Clinic/Center | 1805 S 13th St, Wilmington, NC 28401-6469 | 2008-06-19 |
| 1952303695 | Westside Family Healthcare, Inc. | Clinic/Center | 908 E 16th St Ste B, Wilmington, DE 19802-5145 | 2005-08-12 |
| 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 | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED.
| 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.