TRI COUNTY COMMUNITY HEALTH COUNCIL INC (NPI# 1992171060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992171060 |
| Entity Type | Organization |
| Organization Name | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
| Practice Address |
4311 Old Ocean Highway Bolivia NC 28422-6357 |
| Mailing Address |
Po Box 227 Newton Grove NC 28366-0227 |
| Practice Telephone | 9105676194 |
| Practice Fax Number | 9105675552 |
| Mailing Telephone | 9105676194 |
| Mailing Fax Number | 9105675342 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | PAMELA TRIPP (PRESIDENT/CEO) |
| Authorized Official Telephone | 9105676194 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270999 | Tri County Community Health Council Inc | Clinic/Center | 1470 Maple Grove Church Road, Dunn, NC 28334-7988 | 2018-06-29 |
| 1154624054 | Tri County Community Health Council Inc | Clinic/Center | 1206 E Walnut St, Goldsboro, NC 27530-5161 | 2010-12-15 |
| 1538476973 | Tri County Community Health Council Inc | Clinic/Center | 1525 Ocean Isle Beach Road, Unit 2, Ocean Isle Beach, NC 28469-5797 | 2010-09-07 |
| 1780999458 | Tri County Community Health Council Inc | Clinic/Center | 6934 Beach Dr Sw Ste 1, Ocean Isle Beach, NC 28469-5797 | 2010-08-18 |
| 1700054574 | Tri County Community Health Council Inc | Clinic/Center | 100 E Sanders St, Four Oaks, NC 27524-7776 | 2008-02-14 |
| 1457482051 | Tri County Community Health Council Inc | Clinic/Center | 5531 Eleanor Roosevelt Ln, Willard, NC 28478-6621 | 2007-03-08 |
| 1124158043 | Tri County Community Health Council Inc | Clinic/Center | 73 Dixon Street, Dublin, NC 28332-8903 | 2007-03-07 |
| 1790815611 | Tri County Community Health Council Inc | Clinic/Center | 1508 Maple Grove Church Road, Dunn, NC 28334-7688 | 2007-03-07 |
| 1942223318 | Tri County Community Health Council Inc | Clinic/Center | 194 Tomahawk Highway, Harrells, NC 28444-9765 | 2006-07-25 |
| 1992728950 | Tri County Community Health Council Inc | Clinic/Center | 500 S Fayetteville St, Salemburg, NC 28385-8406 | 2006-07-25 |
| Street Address |
4311 OLD OCEAN HIGHWAY |
| City | BOLIVIA |
| State | NC |
| Zip Code | 28422-6357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1962029942 | Novant Medical Group. Inc. | Family Medicine | 150 College Rd Ne, Bolivia, NC 28422 | 2020-06-25 |
| 1033730866 | Tamika Jocinda Yushaw | Social Worker | 25 Courthouse Drive Ne, Bolivia, NC 28422 | 2020-05-04 |
| 1821648882 | Daniel Burk | Physician Assistant | 584 Hospital Drive Suite A, Bolivia, NC 28422 | 2019-09-12 |
| 1427452283 | East Carolina University School of Dental Medicine-brunswick | Dentist | 100 Brunswick Medical Center Parkway, Bolivia, NC 28422 | 2014-10-22 |
| 1689080632 | Cecilia Liu | Dentist | 3071 Southport Supply Rd Se, Bolivia, NC 28422 | 2014-07-09 |
| 1922372341 | Lorie L Harding | Physician Assistant | 584 Hospital Dr Ne Unit C, Bolivia, NC 28422 | 2012-03-02 |
| 1902095383 | Cayce Mccall Patterson | Physical Therapist | 35 Referendum Dr, Brunswick County Schools, Bolivia, NC 28422 | 2007-10-22 |
| 1235288622 | Susan Beth Kam | Psychologist | 63 Stamp Act Drive, Bolivia, NC 28422 | 2007-01-09 |
| 1578632477 | Sarah E Oxford | Case Manager/Care Coordinator | 63 Stamp Act Dr, Building M, Bolivia, NC 28422 | 2006-11-06 |
| Find all providers in zip 28422 | ||||
| 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 | ||||
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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.