Monroe Community Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MONROE COMMUNITY CLINIC

Doing business as

Latin American Family Medical Climic

Practice address

4101 Central Ave
Charlotte, NC 28205-5611

Phone

(704) 563-5007

Fax

(704) 563-5070

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maritza Rodriguez Forestier

Title

Clinic Manager/Owner

Phone

(704) 563-5007

Specialties & licenses 1

Addresses

Other names 1

• Latin American Family Medical Climic Doing business as

Locations

Practitioners 1

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.

• Kelle N. Holgorsen, PA-C, MMS

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1649341892
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1215281217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055611",
            "telephone_number": "704-563-5007",
            "fax_number": "704-563-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055611",
            "telephone_number": "704-563-5007",
            "fax_number": "704-563-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "FORESTIER",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "CLINIC MANAGER/OWNER",
        "authorized_official_telephone_number": "704-563-5007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latin American Family Medical Climic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dean L. Moniot, MS, PT, OCS
• Monique D McEachern DDS PLLC
• Gloria Gail Monita, OT
• Jillian Manasseh Monk-Brumfield
• Daniel Monk, R.PH.
• Anna M Monroe, PT
• Destiny Monroe
• Kimberly Summer Monroe, FNP
• Michael H Monroe, MD
• Refain Monroe

• Primary Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.