GREENE COUNTY HEALTH CARE INCORPORATED NPI 1700888542

NPI Information

NPI: 1700888542
Provider Name: GREENE COUNTY HEALTH CARE INCORPORATED

Other Name: KATE B REYNOLDS MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
205 MARTIN L KING JR PKWY
SNOW HILL, NC
ZIP 28580
Phone: (252) 747-4199
Get Directions

GREENE COUNTY HEALTH CARE INCORPORATED is a federally qualified health center (fqhc) clinic center in Snow Hill, NC. GREENE COUNTY HEALTH CARE INCORPORATED NPI is 1700888542. The provider is registered as an organization entity type.
The provider Other Name Is Kate B Reynolds Medical Center.

The provider's business location address is:

205 MARTIN L KING JR PKWY
SNOW HILL, NC
ZIP 28580-320
Phone: (252) 747-4199
Fax: (252) 221-5308

The provider's authorized official is Daphne Betts-hemby .
The authorized official title is Cfo and has the following contact phone number (252) 747-8162.

The CLIA number assigned to this NPI record is 34D0987608 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/11/2005 and was last updated on 2/28/2024.

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	344590	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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