ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC NPI 1790851004

NPI Information

  • NPI: 1790851004
  • Provider Name: ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: COLERAIN PRIMARY CARE
  • Address: 109 W RIVER ST
    COLERAIN, NC
    ZIP 27924
  • Phone: (252) 356-2404

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NPI Details

ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Colerain, NC. ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC NPI is 1790851004. The provider is registered as an organization entity type.
The provider Is Doing Business As Colerain Primary Care.

The provider's business location address is:

109 W RIVER ST
COLERAIN, NC
ZIP 27924-006
Phone: (252) 356-2404
Fax: (252) 356-2899

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) 332-3548.

The enumeration date for this NPI number is 11/28/2006 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
1261QF0400XClinic/CenterFederally 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
1018N8OTHERNORTH CAROLINABCBSNC

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: 11/21/2025

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