NPIMap

Organization Active NPI

High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Morganton, NC
National Provider Identifier
1356998181
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HIGH COUNTRY COMMUNITY HEALTH
Practice address
500 E Parker Rd Ste 200
Morganton, NC 28655-5113
Phone
(828) 742-1024
Fax
(833) 665-5329
NPI assigned
Aug 26, 2019
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGH COUNTRY COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Alice Salthouse
Title
Ceo
Phone
(828) 262-3886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

500 E Parker Rd Ste 200
Morganton, NC 28655-5113

Mailing address

PO Box 1490
Boone, NC 28607-1490
Phone (828) 262-3886

Other identifiers 1

IdentifierTypeStateIssuer
1356998181MedicaidNC

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201231001738 NC Part A Provider - Federally Qualified Health Center (FQHC) 8628225190 Practice locations: Morganton, NC
O20240207001473 NC Part B Supplier - Clinic/Group Practice 8628225190 Receives reassigned benefits from 3 practitioners
Practice locations: Morganton, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356998181. Details of each certification follow.

Federally qualified health center certification: CCN 861802

Legal name
HIGH COUNTRY COMMUNITY HEALTH
Doing business as
BURKE DENTAL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 20, 2020
Last certification
Nov 20, 2020
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2010 in NC
Enrollment address
500 E Parker Rd
Ste 200
Morganton, NC 28655-5113

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
High Country Community Health8 organizations share this tax ID, including this one
Part of
High Country Community Health

Other organizations with this tax ID 7

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

Locations

500 E Parker Rd
Ste 200
Morganton, NC 28655
Phone (828) 608-9062

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Alice L Salthouse Individual Corporate OfficerCeo Oct 1, 2012
Heather Stansberry Individual W-2 Managing EmployeeManaging Employee Jun 3, 2013
High Country Community Health Organization, Boone, NC Non-profit Operational/Managerial Control Apr 1, 2022 100%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
High Country Community HealthMorganton, NC, CCN 341063 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1356998181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PARKER RD STE 200",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555113",
            "telephone_number": "828-742-1024",
            "fax_number": "833-665-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGH COUNTRY COMMUNITY HEALTH",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "SALTHOUSE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-262-3886"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356998181",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.