ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC NPI 1497776470

NPI Information

NPI: 1497776470
Provider Name: ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC

Doing Business As: MURFREESBORO PRIMARY CARE

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 34D0242058

Address:
305 BEECHWOOD BLVD
MURFREESBORO, NC
ZIP 27855
Phone: (252) 398-3323
Get Directions

ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Murfreesboro, NC. ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC NPI is 1497776470. The provider is registered as an organization entity type.
The provider Is Doing Business As Murfreesboro Primary Care.

The provider's business location address is:

305 BEECHWOOD BLVD
MURFREESBORO, NC
ZIP 27855-134
Phone: (252) 398-3323
Fax: (252) 398-4163

The provider's authorized official is Stephanie Wroten .
The authorized official title is Interim, Chief Executive Officer and has the following contact phone number (252) 209-0237.

The CLIA number assigned to this NPI record is 34D0242058 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 3/28/2024.

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	016X0	OTHER	NORTH CAROLINA	BCBS
2	344523A	MEDICAID	NORTH CAROLINA
3	344523C	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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