High Country Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Newland, NC
NPI 1083979082 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1083979082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Alice Salthouse, MHA
- Title
- Chief Executive Officer
- Phone
- (828) 262-3886
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 9
Practitioners 57
-
Theresa Tuckmantel Gibbs, DNP, FNP-BC
-
Alysia Ann Hoover-Thompson, PSYD, CP
-
Jesse Illich, PAS1
-
Isabelle James, ARNP
-
Miranda Joy Ramsey, WHNP-C
-
Cordelia R Stearns, M.D., AAHIVS
-
William McGuire, FNP-BC
-
Kendra Jo Back, ARNP
-
Carole Ann Morrison Church, FNP-BC
-
Ruth Dotson, P.A.-C
-
Larry H Elkins, M.D.
-
Amanda Ruth Ferrell, LCMHC-A, LCAS-A
-
Sharon Golden-Myers, FNP-BC
-
Mary Johnson, LCSW
-
Steven Kyle Lewis, PA-C
-
Wallace B. Moncrief, PA-C
-
Amy Lohse Nix, FNP-C
-
Sabre Thomas Watkins, PMHNP-BC
-
Kellie C Pope, PH.D.
-
Merritt Vernon Borders, FNP-C
-
Sara Clark, LCSWA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2053394 | High Country Community Health - Avery | Certificate of waiver | Jan 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
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
- Corporation · Non-profit
- Incorporated
- Jul 1, 2010 in NC
- Enrollment address
- 448 Cranberry St
Newland, NC 28657-8800
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Alice L Salthouse |
Corporate Director |
Jul 1, 2012 | |
| W-2 Managing Employee |
Jul 12, 2012 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| High Country Community Health |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2017 |
| Burke Dental |
Federally qualified health center | Operational/Managerial Control (100%) | Apr 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
500 E Parker Rd
Ste 200
Morganton, NC 28655
Phone (828) 608-9062
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJEBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Dentist |
122300000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Family Nurse Practitioner |
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
Other providers in Newland, NC
- Emily Gray
- Nancy McIntosh Griffith
- Hans J. Vanheule, DC, PA
- Susan Teeter Hawkins
- Tammy Burleson Henson
- High Country Community Health
- High Country Home Care, Inc
- High Country Home Care, Inc.
- Cassandra Hill
- Shannon Lea Holtsclaw
All providers in Newland, NC · Federally Qualified Health Center (FQHC) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.