Organization Active NPI

Roanoke Chowan Community Health Center Inc

Doing business as Hertford County Student Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Murfreesboro, NC
National Provider Identifier
1003257437
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC
Doing business as
Hertford County Student Wellness Center
Practice address
1850 Hwy 11 North
Murfreesboro, NC 27855-1134
Phone
(252) 367-2543
NPI assigned
Jul 15, 2013
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lashun Huntley
Title
Interim Chief Executive Officer
Phone
(336) 829-3198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1850 Hwy 11 North
Murfreesboro, NC 27855-1134

Mailing address

PO Box 669
Ahoskie, NC 27910-0669
Phone (252) 209-0237

Other identifiers 1

IdentifierTypeStateIssuer
029TUOtherNCBCBS OF NORTH CAROLINA

Other names 1

  • Hertford County Student Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050428001071 NC Part B Supplier - Clinic/Group Practice 7214983386 Receives reassigned benefits from 44 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ahoskie, NC; Aulander, NC; Colerain, NC; Creswell, NC; Murfreesboro, NC; Woodland, NC

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2062050Hertford County Student Wellness Center1850 Hwy 11 North, Murfreesboro, NC 27855Certificate of waiverJul 18, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1003257437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279100669",
            "telephone_number": "252-209-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HWY 11 NORTH",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278551134",
            "telephone_number": "252-367-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE CHOWAN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "HUNTLEY",
        "authorized_official_first_name": "LASHUN",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-829-3198"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "029TU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hertford County Student Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.