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MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED NPI 1568914521


NPI Information

NPI: 1568914521
Provider Name: MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED

Other Name: CELO HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
116 SEVEN MILE RIDGE RD
BURNSVILLE, NC
ZIP 28714
Phone: (828) 675-4116
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MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED is a federally qualified health center (fqhc) clinic center in Burnsville, NC. MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED NPI is 1568914521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Celo Health Center.

The provider's business location address is:

116 SEVEN MILE RIDGE RD
BURNSVILLE, NC
ZIP 28714-509
Phone: (828) 675-4116

The provider's authorized official is Timothy Evans .
The authorized official title is Ceo and has the following contact phone number (828) 675-4116.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 3/13/2024.


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
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NORTH CAROLINAYes

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
11568914521MEDICAIDNORTH 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

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