NPIMap

Organization Active NPI

Eastern Band of Cherokee Indians

  • Federally Qualified Health Center (FQHC)
  • Cherokee, NC
National Provider Identifier
1043351166
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
344572A Issued in NC
Legal business name
EASTERN BAND OF CHEROKEE INDIANS
Practice address
1570 Acquoni Rd.
Suite 1
Cherokee, NC 28719
Phone
(828) 497-6217
NPI assigned
Feb 9, 2007
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Cynthia Keefer, RN
Title
Program Manager
Phone
(828) 497-6217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 344572A NC Primary

Addresses

Primary practice location

1570 Acquoni Rd.
Suite 1
Cherokee, NC 28719

Mailing address

PO Box 1030
Cherokee, NC 28719-1030
Phone (828) 497-6217

Other names 1

  • Qualla Youth Health Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043351166. Details of each certification follow.

  • CCN 341903 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 341903

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
QUALLA YOUTH HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 1, 2005
Last certification
Dec 1, 2005
Ownership / control type
For profit – corporation
Facility address
1570 Acquoni Road
Cherokee, NC 28719

National Provider Directory

National Provider Directory

Locations

1570 Acquoni Rd
Ste 1
Cherokee, NC 28719
Phone (828) 497-6217

Practitioners & affiliated clinicians

Practitioners 3

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1043351166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "287191030",
            "telephone_number": "828-497-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 ACQUONI RD.",
            "address_2": "SUITE 1",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN BAND OF CHEROKEE INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "KEEFER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "828-497-6217",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NC",
            "license": "344572A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualla Youth Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cherokee, NC

Sources for this page

Verify at the official NPI Registry.