TRI COUNTY COMMUNITY HEALTH COUNCIL INC NPI 1003218439

NPI Information

NPI: 1003218439
Provider Name: TRI COUNTY COMMUNITY HEALTH COUNCIL INC

Doing Business As: COMMWELL HEALTH OF SHALLOTTE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
341A WHITEVILLE RD NW
SHALLOTTE, NC
ZIP 28470
Phone: (877) 935-5255
Get Directions

TRI COUNTY COMMUNITY HEALTH COUNCIL INC is a federally qualified health center (fqhc) clinic center in Shallotte, NC. TRI COUNTY COMMUNITY HEALTH COUNCIL INC NPI is 1003218439. The provider is registered as an organization entity type.
The provider Is Doing Business As Commwell Health Of Shallotte.

The provider's business location address is:

341A WHITEVILLE RD NW
SHALLOTTE, NC
ZIP 28470-507
Phone: (877) 935-5255
Fax: (910) 236-2118

The provider's authorized official is William Clay Ellison .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (910) 567-7065.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 3/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2804165	OTHER	NORTH CAROLINA	MEDICARE PIN
2	341026	OTHER		MEDICARE OSCAR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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