WEST CALDWELL HEALTH COUNCIL INC. NPI 1346302429

NPI Information

NPI: 1346302429
Provider Name: WEST CALDWELL HEALTH COUNCIL, INC.

Doing Business As: COLLETTSVILLE MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4330 COLLETTSVILLE RD
COLLETTSVILLE, NC
ZIP 28611
Phone: (828) 754-2409
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WEST CALDWELL HEALTH COUNCIL, INC. is a federally qualified health center (fqhc) clinic center in Collettsville, NC. WEST CALDWELL HEALTH COUNCIL, INC. NPI is 1346302429. The provider is registered as an organization entity type.
The provider Is Doing Business As Collettsville Medical Center.

The provider's business location address is:

4330 COLLETTSVILLE RD
COLLETTSVILLE, NC
ZIP 28611-000
Phone: (828) 754-2409
Fax: (828) 754-2418

The provider's authorized official is Thomas Benjamin Mcrary .
The authorized official title is Assistant Administrator and has the following contact phone number (828) 754-2409.

The CLIA number assigned to this NPI record is 34D0247013 - health fair with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/14/2006 and was last updated on 6/29/2016.

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
1	344038	MEDICAID	NORTH CAROLINA
2	34-1947	MEDICARE PIN	NORTH CAROLINA
3	2343321	MEDICARE UPIN	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

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