NPIMap

Organization Active NPI

High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Newland, NC
National Provider Identifier
1083979082
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HIGH COUNTRY COMMUNITY HEALTH
Practice address
448 Cranberry St
Newland, NC 28657-8800
Phone
(828) 737-0221
NPI assigned
Jul 6, 2012
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mrs. Alice Salthouse, MHA
Title
Chief Executive Officer
Phone
(828) 262-3886

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

448 Cranberry St
Newland, NC 28657-8800

Mailing address

PO Box 1490
Boone, NC 28607-1490
Phone (828) 264-6635

Other practice location 1

504 Pineola St
Newland, NC 28657-7604
Phone (828) 742-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120906000304 NC Part A Provider - Federally Qualified Health Center (FQHC) 8628225190 Practice locations: Newland, NC
O20140314000056 NC Part B Supplier - Clinic/Group Practice 8628225190 Receives reassigned benefits from 23 practitioners
Practice locations: Newland, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083979082. Details of each certification follow.

Federally qualified health center certification: CCN 341000

Legal name
HIGH COUNTRY COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 17, 2012
Last certification
Oct 17, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2010 in NC
Enrollment address
448 Cranberry St
Newland, NC 28657-8800

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
34D2053394High Country Community Health - Avery448 Cranberry Street, Newland, NC 28657Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

500 E Parker Rd
Ste 200
Morganton, NC 28655
Phone (828) 608-9062

504 Pineola St
Newland, NC 28657
Phone (828) 608-9062

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJEBD

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alice L Salthouse Individual Corporate DirectorCeo Jul 1, 2012
W-2 Managing EmployeeCeo Jul 12, 2012

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
High Country Community HealthMorganton, NC, CCN 341063 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017
Burke DentalMorganton, NC, CCN 861802 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1083979082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-264-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 CRANBERRY ST",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286578800",
            "telephone_number": "828-737-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Pineola St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286577604",
            "country_code": "US",
            "telephone_number": "828-742-1018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIGH COUNTRY COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "SALTHOUSE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "828-262-3886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newland, NC

Sources for this page

Verify at the official NPI Registry.