Tri County Community Health Council Inc

LBN: Tri County Community Health Council Inc
Tri County Community Health Council Inc is an health care organization with primary practice located at 5531 Eleanor Roosevelt Lane , Willard NC 28478. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Tri County Community Health Council Inc can be contacted via phone (877) 935-5255, or through Ellison, William C via phone (910) 567-7065.

Contact Information

Primary practice address
5531 Eleanor Roosevelt Lane Willard NC 28478
Phone: (877) 935-5255
Fax: (910) 236-2118
Website:
Map and Directions
Authorized official contact:
Name: Ellison, William C
Phone: (910) 567-7065

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1396768776
LBN Legal business name Tri County Community Health Council Inc
DBA Doing business as
Authorized official Ellison, William C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 27th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396768776 NPPES
North Carolina Other 34-1921 MEDICARE PART A
North Carolina Other 2804165 MEDICARE PART A
North Carolina Other 018KH MEDICARE PART A

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