FOUR COUNTY PRIMARY CARE RLLP NPI 1811917412

NPI Information

NPI: 1811917412
Provider Name: FOUR COUNTY PRIMARY CARE, RLLP
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 120 CHARLES ROLLINS RD
SUITE 102
HENDERSON, NC
ZIP 27536
Phone: (252) 436-0440

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NPI Details

FOUR COUNTY PRIMARY CARE, RLLP is a primary care clinic center in Henderson, NC. FOUR COUNTY PRIMARY CARE, RLLP NPI is 1811917412. The provider is registered as an organization entity type.

The provider's business location address is:

120 CHARLES ROLLINS RD
SUITE 102
HENDERSON, NC
ZIP 27536-882
Phone: (252) 436-0440

The provider's authorized official is Jimmy E. Chatman .
The authorized official title is Vice President/finance and has the following contact phone number (252) 436-1101.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/25/2009.

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	261QP2300X	Clinic/Center	Primary Care			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	2329709	MEDICARE PIN	NORTH CAROLINA
2	890214Q	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: 11/21/2025

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