NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED NPI 1912954090

NPI Information

NPI: 1912954090
Provider Name: NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED

Doing Business As: MEDNORTH HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
925 N 4TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-0270
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NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED is a federally qualified health center (fqhc) clinic center in Wilmington, NC. NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED NPI is 1912954090. The provider is registered as an organization entity type.
The provider Is Doing Business As Mednorth Health Center.

The provider's business location address is:

925 N 4TH ST
WILMINGTON, NC
ZIP 28401-450
Phone: (910) 343-0270
Fax: (910) 251-1540

The provider's authorized official is Althea Johnson .
The authorized official title is Ceo and has the following contact phone number (910) 202-8623.

The CLIA number assigned to this NPI record is 34D0876294 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 1/24/2024.

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	344555	MEDICAID	NORTH CAROLINA
2	0155P	OTHER	NORTH CAROLINA	BLUECROSS BLUESHIELD
3	8700429	OTHER	NORTH CAROLINA	MEDICAID (HIV CASE MGMT)

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: 4/28/2024

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