HEALTHREACH COMMUNITY CLINIC NPI 1417131319

NPI Information

  • NPI: 1417131319
  • Provider Name: HEALTHREACH COMMUNITY CLINIC
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Former Legal Business Name: MOORESVILLE SOUTH IREDELL HEALTH ASSISTANCE CLINIC
  • CLIA Number: 34D2062993
  • Address: 400 E STATESVILLE AVE
    SUITE 300
    MOORESVILLE, NC
    ZIP 28115
  • Phone: (704) 663-1992

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NPI Details

HEALTHREACH COMMUNITY CLINIC is a voluntary or charitable in Mooresville, NC. HEALTHREACH COMMUNITY CLINIC NPI is 1417131319. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mooresville South Iredell Health Assistance Clinic.

The provider's business location address is:

400 E STATESVILLE AVE
SUITE 300
MOORESVILLE, NC
ZIP 28115-581
Phone: (704) 663-1992
Fax: (704) 663-2073

The provider's authorized official is Charles Rory Crawford .
The authorized official title is Executive Director and has the following contact phone number (704) 663-1992.

The CLIA number assigned to this NPI record is 34D2062993 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 6/26/2014.

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
1251V00000XVoluntary or CharitableYes

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: 3/30/2025

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