NPIMap

Organization Active NPI

Americare Ehalth

Doing business as Marsville Health Center

  • Internal Medicine Physician
  • Marshville, NC
National Provider Identifier
1104839935
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMERICARE EHALTH
Doing business as
Marsville Health Center
Practice address
7204 E Marshville Blvd
Marshville, NC 28103-1191
Phone
(704) 624-9200
Fax
(704) 624-9201
NPI assigned
Aug 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Iyore Irene Ojomo
Title
Business Administrator
Phone
(704) 624-9200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NC
Internal Medicine Physician 207R00000X NC Primary

Addresses

Primary practice location

7204 E Marshville Blvd
Marshville, NC 28103-1191

Mailing address

7204 E Marshville Blvd
Marshville, NC 28103-1191
Phone (704) 624-9200

Other identifiers 2

IdentifierTypeStateIssuer
0200GOtherNCBLUECROSS BLUESHIELD ID
790200GMedicaidNC

Other names 1

  • MARSVILLE HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000103 NC Part B Supplier - Clinic/Group Practice 6406768118 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, NC; Marshville, NC; Wadesboro, NC

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Americare Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104839935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 E MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031191",
            "telephone_number": "704-624-9200",
            "fax_number": "704-624-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 E MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031191",
            "telephone_number": "704-624-9200",
            "fax_number": "704-624-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE EHALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "OJOMO",
        "authorized_official_first_name": "IYORE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "704-624-9200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID",
            "identifier": "0200G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790200G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSVILLE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.