NPIMap

Organization Active NPI

Western North Carolina Community Health Services, Inc.

  • Community Health Clinic/Center
  • Asheville, NC
National Provider Identifier
1043392921
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.
Practice address
257 Biltmore Ave
Asheville, NC 28801-4120
Phone
(828) 285-0622
Fax
(828) 285-9421
NPI assigned
Oct 19, 2006
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
THE WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Carlos Gomez
Title
President and Ceo
Phone
(828) 255-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

257 Biltmore Ave
Asheville, NC 28801-4120

Mailing address

257 Biltmore Ave
Asheville, NC 28801-4120
Phone (828) 285-0622

Other identifiers 1

IdentifierTypeStateIssuer
344583CMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825001424 NC Part B Supplier - Clinic/Group Practice 0840264669 Receives reassigned benefits from 56 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Asheville, NC

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Western NC Community Health SVCS

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1043392921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014120",
            "telephone_number": "828-285-0622",
            "fax_number": "828-285-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014120",
            "telephone_number": "828-285-0622",
            "fax_number": "828-285-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "828-255-4870"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344583C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.