Active NPI
Tri County Community Health Council Inc
- Federally Qualified Health Center (FQHC)
- Selma, NC
National Provider Identifier
1326952078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- TRI COUNTY COMMUNITY HEALTH COUNCIL INC
- Practice address
- 122 S Raiford St
Selma, NC 27576-3155 - Phone
- (910) 567-6194
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Ellison
- Title
- Sr Director of Revenue Cycle
- Phone
- (910) 567-7065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
122 S Raiford St
Selma, NC 27576-3155
Mailing address
6114 US Highway 301 S
Four Oaks, NC 27524-7417
Phone (910) 753-4630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1326952078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6114 US HIGHWAY 301 S",
"city": "FOUR OAKS",
"state": "NC",
"postal_code": "275247417",
"telephone_number": "910-753-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 S RAIFORD ST",
"city": "SELMA",
"state": "NC",
"postal_code": "275763155",
"telephone_number": "910-567-6194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY COMMUNITY HEALTH COUNCIL INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "SR DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "910-567-7065"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.