NPIMap

Organization Active NPI

Mountain Community Health Partnership Incorporated

Doing business as East Yancey School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Burnsville, NC
National Provider Identifier
1295462968
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Doing business as
East Yancey School Based Health Center
Practice address
285 Georges Fork Rd
Burnsville, NC 28714-7827
Phone
(828) 682-2281
Fax
(833) 784-1526
NPI assigned
Aug 3, 2022
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Timothy Evans
Title
Ceo
Phone
(828) 675-4116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

285 Georges Fork Rd
Burnsville, NC 28714-7827

Mailing address

PO Box 27
Bakersville, NC 28705-0027
Phone (828) 682-8102

Other names 1

  • East Yancey School Based Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041208000049 NC Part B Supplier - Clinic/Group Practice 3678538683 Receives reassigned benefits from 38 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burnsville, NC; Spruce Pine, NC; Bakersville, NC
O20220909003117 NC Part A Provider - Federally Qualified Health Center (FQHC) 3678538683 Practice locations: Burnsville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295462968. Details of each certification follow.

Federally qualified health center certification: CCN 341193

Legal name
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 24, 2022
Last certification
Aug 24, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 22, 1974 in NC
Enrollment address
285 Georges Fork Rd
Burnsville, NC 28714-7827

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Bakersville Community Medical Clinic Incorporated5 organizations share this tax ID, including this one
Part of
Bakersville Community Medical Clinic Incorporated

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
United Community Bank Organization, Bakersville, NC Financial institution 5% Or Greater Mortgage Interest Apr 12, 2012 17.42%
Angela Michelle Wilson Individual Operational/Managerial ControlCredentialing Specialist Jul 1, 2023 100%
Timothy a Evans Individual Operational/Managerial ControlCeo Jul 1, 2023 100%
April Yolei Briggs Individual Operational/Managerial ControlCfo Nov 13, 2024 100%

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1295462968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "BAKERSVILLE",
            "state": "NC",
            "postal_code": "287050027",
            "telephone_number": "828-682-8102",
            "fax_number": "833-784-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 GEORGES FORK RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147827",
            "telephone_number": "828-682-2281",
            "fax_number": "833-784-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED",
        "enumeration_date": "2022-08-03",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-675-4116"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Yancey School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Yancey School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.