ROBESON HEALTH CARE CORPORATION NPI 1093772410

NPI Information

NPI: 1093772410
Provider Name: ROBESON HEALTH CARE CORPORATION

Doing Business As: MAXTON MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
610 E DR MARTIN LUTHER KING JR DR
MAXTON, NC
ZIP 28364
Phone: (910) 844-5253
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ROBESON HEALTH CARE CORPORATION is a federally qualified health center (fqhc) clinic center in Maxton, NC. ROBESON HEALTH CARE CORPORATION NPI is 1093772410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Maxton Medical Center.

The provider's business location address is:

610 E DR MARTIN LUTHER KING JR DR
MAXTON, NC
ZIP 28364
Phone: (910) 844-5253
Fax: (910) 844-3290

The provider's authorized official is George Timothy Hall .
The authorized official title is President Ceo and has the following contact phone number (910) 521-2900.

The CLIA number assigned to this NPI record is 34D0655393 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/28/2006 and was last updated on 8/16/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MHL078127	NORTH CAROLINA	No
2	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	344569 A/C	MEDICAID	NORTH CAROLINA
2	6005791	MEDICAID	NORTH CAROLINA

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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