ROBESON HEALTH CARE CORPORATION NPI 1750348538

NPI Information

NPI: 1750348538
Provider Name: ROBESON HEALTH CARE CORPORATION

Doing Business As: JULIAN T PIERCE HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
307 E WARDELL DR
PEMBROKE, NC
ZIP 28372
Phone: (910) 521-2816
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ROBESON HEALTH CARE CORPORATION is a federally qualified health center (fqhc) clinic center in Pembroke, NC. ROBESON HEALTH CARE CORPORATION NPI is 1750348538. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Julian T Pierce Health Center.

The provider's business location address is:

307 E WARDELL DR
PEMBROKE, NC
ZIP 28372
Phone: (910) 521-2816
Fax: (910) 521-3583

The provider's authorized official is George Timothy Hall .
The authorized official title is President/ceo and has the following contact phone number (910) 521-2900.

The CLIA number assigned to this NPI record is 34D0245419 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/27/2006 and was last updated on 8/16/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MHL-078-064	NORTH CAROLINA	No
2	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	6005794	MEDICAID	NORTH CAROLINA
2	344568 A/C	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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